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The adipocyte secretes over 50 cytokines and hormones that both enhance and suppress inflammation, secretes extracellular matrix proteins that impact inflammation, produces and releases toxic lipids that aggravate inflammation, and, more recently, was shown to present antigen to activate CD4+ T cells

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Conventional medical doctors (MDs) routinely gave monthly B12 shots, especially to women patients, for vague symptoms from anxiety to fatigue

especially those with exocrine pancreatic insufficiency