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Oxidoreductases, such as NAD(P)H quinone oxidoreductase 1 (NQO1), influence NF-B activation and cytokine production, while hydrolases, including acyloxyacyl hydrolase and leukotriene-A4 hydrolase, stimulate psoriatic lymphocytes, enhancing inflammatory signaling and interleukin releasing [52,53]

This shows the need for consistent shots to maintain optimal B12 status

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