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Moreover, the metabolism of compounds produced by lipid peroxidation results in the formation of various types of prostaglandin-like structures and aldehydes, which are highly reactive and capable of reacting with DNA (forming adducts) (85)

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For example, the body produces methylmalonic acid (MMA) in the blood when it's either not getting enough B12 or not using B12 properly

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62 Alcohol use exacerbates liver injury in both infections: 26.5% of CHB patients report excessive alcohol consumption, rising to 35.6 and 41.8% in hepatitis B virus (HBV)-related cirrhosis and liver cancer patients, respectively, 114 while alcohol consumption synergistically exacerbates hepatitis C virus (HCV)-related liver damage