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Processed foods high in sugar, trans fats, and preservatives increase free radicals, leading to oxidative stress

He reports that most vegans show adequate B12 levels to make clinical deficiency unlikely, but they may show restricted activity of B12-related enzymes, leading to elevated homocysteine levels, which has been linked to increased risk of heart disease and stroke

Alcohol reduces immune function, as well, due to the loss of glutathione stores

[DOI] [PubMed] [Google Scholar] 72.Long J, Gao F, Tong L, Cotman CW, Ames BN, Liu J

Comment: Some commenters were concerned that the reporting incentive does not fully offset the costs and challenges faced by ACOs in adopting all payer/all patient collection types