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Oral manifestations of vitamin B12 deficiency associated with pernicious anemia: a case report

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The mechanism is well understood and involves the metabolism of tryptophan to indole by intestinal bacteria, conjugation to indoxyl sulfate in the liver, and final metabolism to indirubin (red) and indigo (blue) by bacterial phosphatase leading to purple colored urine [5]

It's possible that AOD9604 may influence the fat cells and lipolytic receptors, particularly given its observed association with changes in weight and fat in murine models