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Multi-level anti-inflammatory modulation reduces IL-6, TNF-alpha, and COX-2 expression, dampening the inflammatory response that can delay healing

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He reports that most vegans show adequate B12 levels to make clinical deficiency unlikely, but they may show restricted activity of B12-related enzymes, leading to elevated homocysteine levels, which has been linked to increased risk of heart disease and stroke

Journal of Orthopaedic Research, 33 (7), 1024-1033