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While the emphysema state results in loss of alveolar spaces and low sputum production, the bronchitis phenotype results in narrowing of the airways as well as blocking of the alveolar spaces with mucus obstruction leading to chronic cough, sputum production, and exacerbations (Szalontai et al., 2021
B12 deficiency in India

American Heart Association

Pajuelo, D., Gonzalez-Juarbe, N

Nasal and sublingual administrations of vitamin B12 (placing the vitamin beneath the tongue for one to two minutes) are another promising way of administration that are studied [14,34]
