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Long-term disease history, clinical symptoms, health status, and healthcare utilization in patients suffering from Lambert Eaton myasthenic syndrome: results of a patient interview survey in Germany

However, it is a poorer precursor as it requires methyl ester modification for transport into the cell 37,38

Unfortunately, this measure doesnt show the level of B12 within cells and has a low predictive ability (8)

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Without adequate mitochondrial function, even minor physical activity can feel exhausting because the body simply cannot produce enough energy to sustain normal physiological processes