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Has function improved
Physical symptoms extend beyond neurological manifestations to include macrocytic anemia , where Red Blood cells become enlarged and inefficient at oxygen transport
Feeling the scale of it as treatment begins is part of that picture
They function as bidirectional signal transducers: matrix stiffness, composition, and topography are sensed by integrins and converted into intracellular signalling cascades that regulate gene expression, cell survival, and differentiation
This ensures your deficiency is confirmed, allows us to monitor your response to treatment over time and provides a clinical record
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