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Unlike other vitamins the body does not synthesize B12 on its own, on the contrary, it obtains the vitamin from animal sources such as red meat, fish, milk, and eggs

[DOI] [PMC free article] [PubMed] [Google Scholar] 3.Baker SJ, Ignatius M, Johnson S, Vaish SK

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In addition, there is a higher intensity of CD38 expression (measured by flow cytometry) in the more aggressive multi-hit variants, which allows further differentiation of the diseases and the use of CD38 as a biomarker for early diagnosis [14]