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Consequently, oxidative stress acts not only as an initial trigger in vitiligo but also as a catalyst that, by generating autoantigens and inflammatory cytokines, perpetuates autoimmune responses and drives disease progression 17,46

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Although small amounts of unconverted Cyanocobalamin will remain in the system, this is typically nothing more than is ‘left behind’ from the consumption of common supplements and foodstuffs containing B vitamins