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The NICE Clinical Knowledge Summary on B12 and folate deficiency recommends assessing the underlying cause before choosing a treatment path, which is why speaking to a pharmacist or GP first matters

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PubMed Central PMCID: PMC6221678 10.1097/MD.0000000000013065 [DOI] [PMC free article] [PubMed] [Google Scholar] 141.Giustarini D., Tazzari V., Bassanini I., Rossi R

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Primary Cellular Pathways Nicotinic Acetylcholine Receptor Antagonism Neuromuscular Blockade The primary mechanism of Syn-AKE involves binding to the epsilon subunit of muscular nicotinic acetylcholine receptors (mnAChR), preventing acetylcholine from binding and initiating muscle contraction[1]

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