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Genetic variations in these key enzymes may collectively contribute to elevated estrogen levels in uterine fibroid tissue by enhancing E 2 synthesis and altering the balance of E 2 metabolic pathways [Citation28,Citation29]

Other symptoms may include: Glossitis (sore, red tongue) Mouth ulcers Visual disturbances (rare, due to optic neuropathy, requiring urgent assessment) Gastrointestinal symptoms such as diarrhoea or constipation It is crucial to recognise that neurological damage from B12 deficiency can become irreversible if left untreated for prolonged periods

These antibodies exhibited selective binding to damaged rheumatoid and osteoarthritic joints, 33 indicating a targeted approach toward regions of joint damage

van Herwaarden, E