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It is not contagious

Some of these are stable, and can diffuse through cell membrane affecting membrane functions, such as lipidlipid interactions, ion gradients, fluidity and permeability, thus, causing a major issue for cell homeostasis (Skouta et al., 2014

Two individuals can share the same environment, yet only one develops symptoms

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Medications : Some medications, including common antacids and certain type 2 diabetes drugs, can interfere with B12 absorption