Back McLean, BA, Wong, CK, Campbell, JE, et al (2021) 'Revisiting the complexity of GLP-1 action from sites of synthesis to receptor activation', Endocrine Reviews , 42/2, 101-32
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This is because studies have linked vitamin B12 deficiencies to an increase in the amino acid homocysteine
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Indeed, patients with CCM have more rare protein-altering variants than comparative cohorts, and patients with truncated variant TTN experienced worse more heart failure and impaired myocardial recovery than those without 147
Persistent or worsening symptoms should be discussed with a healthcare provider