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Neurological investigations showed raised plasma homocysteine and methylmalonic acid towards the upper limit of normal with a low serum vitamin B12 MRI showed an extensive cord lesion in keeping with subacute combined degeneration of the spinal cord

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The diagnosis of perioral dermatitis usually does not require any tests

We see so many patients in practice coming in on peptides they heard about from social media, at the gym, or got from a wellness center. The enthusiasm is understandable: the biology is interesting, and the regenerative mechanisms aren't implausible