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Identification Anthracnose looks a bit like leaf spot, except the color of the infection shows up as dark brown spotting on the hydrangeas leaves

It attaches with specific cobalamin binding proteins, called transcobalamin I and II, to enter into the tissues

Pyridoxine dependent epilepsy and antiquitin deficiency: clinical and molecular characteristics and recommendations for diagnosis, treatment and follow-up

This genetic defect is more common in South Asians and those of African origin, and unlike transcobalmin deficiency, is associated with other B12 biomarkers in the normal range and no clinical symptoms

The refusal to provide this essential treatment a day early, when the patient is symptomatic, is fundamentally different from a dietary suggestion

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