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Antibodies to intrinsic factor were positive at 45.4 AU/mL, while parietal cell antibodies were negative, concerning for PA

Acetylation of K351 may disrupt interactions with the FAD co-factor, while acetylation of K360 may disrupt salt bridge interactions between K360 and E215 and E393, which are in the vicinity of the FAD co-factor (Figure 7E)

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This risk is compounded by Ashwagandhas interaction with the GABAergic system, which may potentiate sedative medications often used for symptom management in these populations [183]