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Any elderly patient experiencing new or worsening neurological symptoms despite B12 treatment should be referred back to their GP for reassessment, as alternative diagnoses must be considered

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Bulletin of Experimental Biology and Medicine , v

Carnitine metabolism in the hypothalamus plays a role in the fine regulation of the endocrine feedback mechanism by interacting with metabolic hormones (e.g., ghrelin, leptin and insulin) [89]