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She was "bedridden" and didn't have energy

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Compared to HCs, these analyses revealed that 18 pathways were significantly altered in LC patients ( Figure 3A )

If B12 blood levels and MMA are both high, a functional B12 deficiency could be preventing B12 being useful at cell/tissue level

The decision to prescribe GLP-1 agonists for adolescents should ultimately be made on a case-by-case basis, considering the individual patients circumstances, the availability of alternative treatments, and the commitment of the healthcare team to provide comprehensive, ongoing care