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Previously, Lilly had only made these vials, which are priced lower than its injectable pens, available to patients who filled prescriptions through an online portal created by Lilly, called LillyDirect

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Lead author, Dr Natasha Tyler said: Patients with vitamin B12 deficiency often report feeling marginalised and describe their interactions with primary care as battles and report feeling stigmatised

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Thus, oxidative stress emerges as a central mechanism in the disease pathogenesis, interconnected with proteostatic and mitochondrial dysfunction [198, 199]