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N 2 O intoxication-induced vitamin B12 deficiency was diagnosed based on the skin pigmentation that had manifested over the dorsa of her fingers, toes, and trunk, coupled with myeloneuropathy of the posterior and lateral columns, a low serum vitamin B12 level, an elevated serum homocysteine level, and the N 2 O exposure revealed while establishing the patient's history

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This pattern suggests BPC-157 shifts the cellular environment from injury-propagating toward repair-promoting states