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abscessus infection is constrained by multiple factors such as drug tolerance, toxicity, and drug interferences

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Electrolyte imbalance : Loss of fluids also means a loss of essential minerals

In the case that DNA is not formed correctly, the cell can be damaged

[21] Within cells, cyanocobalamin is converted to methylcobalamin and 5- deoxyadenosylcobalamin, coenzymes that participate respectively in homocysteine remethylation to methionine and in the isomerization of methylmalonyl-CoA to succinyl CoA, reactions essential for DNA synthesis, erythropoiesis, and myelin maintenance

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