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Typically, high levels of vitamin B12 happen due to supplementation or injections

However, it is always advisable to consult your doctor before using any medication during pregnancy to evaluate the potential risks and benefits based on your specific situation

For example, in fish GPX4 activity contributes to a greater extent to total GPX activity, [19] GPX4a is the most highly expressed selenoprotein mRNA (in contrast to mammals where it is GPX1 mRNA) [20] and GPX4a appears to be highly inducible to changes within the cellular environment, such as changes in methylmercury and selenium status

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