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In mild cases, low levels of vitamin B12 can cause fatigue and anemia, while more serious deficiencies can lead to serious neurological and heart impairments

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On the other hand, the CMAP portrayed normal biphasic potentials and similar amplitudes and conduction velocities

The inability of 5-cholesten-3-one to serve as substrate for the bacterial ketosteroid isomerase was noted in the original publication (Talalay and Wang, 1955), and the purified mammalian GST A3-3 from different sources also lack detectable activity with this steroid (unpublished work in our laboratory)

Other etiologies should be excluded, including those listed below