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Furthermore, additional performed studies suggested [164] that genetic expression of enzymes involved in glucose and lipid homeostasis together with cholesterol transport are altered (as we shall further explain in detail later on)

For example, studies by Lindenbaum et al 38 and Healton et al 5 showed that up to 28% of patients with neuropsychiatric symptoms of B 12 deficiency can present with normal mean corpuscular volume (MCV), hematocrit (HCT), or both

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