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Thus, a high fever may potentially worsen psychiatric symptoms by causing inactivation of the enzyme activity

Your individual needs will differ, so the first step is a consultation and blood draw to determine your needs and outline a treatment plan that will work for you

Unlike TTP, which involves microvascular platelet-rich thrombi and requires urgent plasmapheresis, PTMA stems from ineffective erythropoiesis due to cobalamin deficiency and responds to vitamin B12 replacement [3]

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