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Contrast that with a patient eating a varied omnivorous diet with no B12 risk factors who receives the same formulation

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doi: 10.1007/s11695-018-3336-3

Unlike apoptosis, its execution is independent of caspases and is instead driven by receptor-interacting protein kinase 1 (RIPK1) and receptor-interacting protein kinase 3 (RIPK3), with mixed lineage kinase domain-like protein (MLKL) acting as the executioner by oligomerizing and forming pores in the plasma membrane, leading to its rupture (41)