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In the case of diseases such as multiple sclerosis (MS), this protective layer is destroyed, which means that the nerves can no longer transmit their signals correctly

They examine its role in tissue protection, angiogenesis, microvascular stability, and inflammatory signaling

According to current case reports, the phenotype of epilepsy associated with noninfantile vitamin B12 deficiency remains uncertain and may present with complex partial seizures, generalized seizures, tonic clonus and generalized tonic-clonic convulsions

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The referral destination depends on the accompanying findings: liver findings may point to hepatology or gastroenterology, significant kidney disease to nephrology, abnormal counts or smear findings to hematology, and cancer concern to oncology