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Peripheral nerve fibers supplying endometriotic lesions could sensitize spinal segment neurons and eventually lead to a central nervous system sensitization, resulting in an exaggerated central nervous system response or phantom-like endometriotic pain, or both, despite ablation of lesions (9)

doi: 10.1016/j.bbamcr.2003.08.007

Additional weekly vitamin B12 injection may be necessary

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Richie: GSH production by cells can be limited due to the lack of precursors in the diet or during periods of increased utilization