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1988 Feb;38(34):345353

Hypoxia in these areas induces the expression of inflammatory molecules (IL-4, IL-10 et al.), thus promoting the recruitment of macrophages followed by conversion to the M2 phenotype [46]

Popular in nervous-system signaling investigations
Li, S.-X

The same applies if your elevated B12 is accompanied by abnormal results on other labs (liver enzymes, kidney markers, CBC), or by symptoms like unexplained weight loss, persistent fatigue, abdominal pain, or easy bruising