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Who to refer: Patients: with symptoms suggestive of either a spinal cord lesion (subacute combined degeneration or peripheral neuropathy) or visual (optic neuropathy) same day emergency admission not responding haematologically to B12 replacement therapy (where folate and iron stores have been checked and are normal) with suspected malabsorption or disease of the terminal ileum should be referred to Gastroenterology with neurological symptoms should be discussed with Neurology if advice required

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The Neurovascular Unit: Effects of Brain Insults During the Perinatal Period

About this article Cite this article Zakharova, N., Luo, C., Aringazina, R

In long-term disease conditions such as chronic kidney disease (CKD), kidney atrophy and nephron loss typically occur, resulting in diminished kidney function

You see, the liver processes everything from medications to environmental exposures to byproducts of normal digestion