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Upregulation of antioxidant enzyme expression or activity Antioxidant enzymes, such as superoxide dismutase (SOD), glutathione peroxidase (GPx), and glutathione reductase (GR), convert reactive oxygen species (ROS) into harmless substances, thereby reducing cellular oxidative stress and mitigating radiotherapy-induced inflammation 28

9 In some cases, symptoms associated with elevated vitamin B12 levels may actually occur in people undergoing treatment for a vitamin B12 deficiency rather than from excessive intake itself

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