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Elevated MMA levels in patients with vitamin B12 deficiency can contribute to myelin damage (myelopathy) and, consequently, peripheral and autonomic neuropathy ( Cobalamin deficiency can lead to neurological manifestations such as progressive axonal demyelination, impaired peripheral and sensory nerve function, areflexia, loss of proprioception and vibration sensitivity, and subacute combined spinal cord degeneration (70)

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So that's sort of my take on that

Synaptic plasticity: multiple forms, functions, and mechanisms

It is reported that the typical anatomical endowment is a 20% increase in circumference

The mechanisms are well-characterized: angiogenesis, collagen synthesis, inflammation reduction, and neuroprotection