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The finding of a low total serum cobalamin level may be further evaluated by testing for anti-IFAB
Glutathione IV therapy, by reducing oxidative stress and supporting cellular repair, may help alleviate these symptoms, making the detoxification process more comfortable and manageable
13,168 Diagnosis involves a comprehensive clinical evaluation, including detailed neurological examination, electrophysiological studies like NCS and electromyography (EMG) to assess motor and sensory fiber function and localize lesions, as well as imaging studies such as magnetic resonance imaging (MRI) to exclude compressive or structural causes
This redox reaction is shown in figure 2 for the NAD molecule, but NADP also shuttles between oxidized (NADP + ) and reduced (NADPH) forms
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