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There are three reasons why this diagnosis is missed: Although its not an expensive test, B12 isnt measured during routine blood tests

Further, AngII binding at the AT 1 receptor increased DA neuron degeneration initiated by subthreshold doses of DA neurotoxins by stimulating intraneuronal levels of ROS and neuroinflammation by activation of microglial NADPH oxidase (141144)

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10.1002/alz.12683 Alzheimers Dement