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Major barriers to the clinical use of gene therapy, however, include transfection efficiency, the creation of long-term effects, the difficulty of controlling cell proliferation, ectopic transfection, disease transmission, patient-specific dose responses, immune reactions against viral proteins, possible side effects, and ethical issues [87, 88]

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doi: 10.1155/2015/652738 69 GilbertRECooperME

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Another study highlighted the metabolomic changes associated with vitamin B12 deficiency and repletion, showing improvements in markers of mitochondrial function, myelin integrity, and peripheral nerve function after vitamin B12 injections

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Ottawa, ON: Canadian Pharmacists Association

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