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Future research should investigate long-term outcomes in high-risk populations, direct comparisons between physiological and pharmacological dosages, cost-effectiveness analyses, and adherence metrics to inform optimal strategies for the prevention and management of vitamin B12 deficiency

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For example, the combined effect of aflatoxin exposure and chronic hepatitis B infection markedly increases liver cancer risk, underscoring the complexity of multifactorial exposures that remain poorly integrated into existing risk models [252]

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Jaycie Ryen Stout, freshman, Deans List, College of Agricultural Sciences and Natural Resources, pre-veterinary medicine and veterinary science