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Nrf2 once activated, binds to the antioxidant response element (ARE) located at the regulatory regions of the genes of the antioxidant enzymes and induces transcription of the antioxidants genes (Morinho et al., 2014)

Tri-Fortify contains .032g per serving of natural sugar

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If they are not, they could be the wrong form of B12 such as cyanocobalamin or they could have added preservatives that you do not want injected into your child