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Vitamin B12 deficiency is generally suspected based on related symptoms, clinical findings, and laboratory results and is confirmed by measuring vitamin B12 levels
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Lancet: Diabetes and Endocrinology 2014
In addition, reactive astrocytes at the perimeter of the fibrotic scar proliferate to form perilesional barrier that protects the adjacent viable nervous tissue
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![Figure 1. [Physiology of the GH-IGF-I Axis...]. - Endotext](https://www.ncbi.nlm.nih.gov/books/NBK278971/bin/dsrdr-gh-childhood-Image001.jpg)
