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This causes high oxidative stress, mitochondrial dysfunction, and cell death of the hepatocytes.[ref] As these cells die, inflammatory cascades perpetuate the oxidative stress, leading to bleeding, fibrosis, or possibly liver failure

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These conditions can often be diagnosed based on your symptoms though if you feel your symptoms are chronic then i do encourage you to book an appointment for blood work with your GP as there is a chance that you may be suffering from an underlying condition such as pernicious anemia which could qualify you for free injections from the NHS

There is decreased gastric acid that some nutrients require to be absorbed