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Whatever the specific path for initiating dynamical imbalance or dysregulation of the circuitry, the resultant hyperactivity of downstream pyramidal neurons ultimately leads to dysregulated neural network activity, excitotoxicity, and eventually frank neuronal loss

The therapys success is checked by looking at clinical markers

Children: Adequate B12 levels are crucial in children for proper growth and cognitive development

they are typically obtained outside standard pharmacy channels rather than through a prescription drug benefit