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Similar finding has been reported with Spirulina supplementation in rodent and invitro models [93, 94]

"but I do find it weird that my B12 is nonexistent and yet my RBC, MCV, and MCH are normal." Low B12 can lead to enlarged red blood cells (macrocytosis)

These side effects usually improve over time and can be managed with dietary changes, drinking plenty of fluids, and over-the-counter medications if necessary

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Glutathione reductase catalyzes the conversion of glutathione disulfide into its reduced state, a process requiring NADPH