Imbe et al
doi:10.4161/oxim.3.3.12288 Shear NH, Malkiewicz IM, Klein D, Koren G, Randor S, Neuman MG (1995) Acetaminophen-induced toxicity to human epidermoid cell line A431 and hepatoblastoma cell line Hep G2, in vitro, is diminished by silymarin
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For residents near Troy, MI , the answer might lie in something simpler: a Vitamin B12 deficiency