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Holding that discipline is what ensures first do no harm remains central, particularly in health-conscious individuals where potential benefit is uncertain and avoidable risk matters more

The term sub acute combined degeneration of spinal cord is used to describe the pathological process seen in loop syndrome results in competition for vitamin B-12 by bacterial overgrowth in while microscopically there are multifocal vacuolated and surgical resection of the ileum matter and in the posterior and absorption

58 Although rare and an underrecognized phenomenon, there have been numerous case reports describing the development of SACD after anesthesia with N 2 O administration

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