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Electromyography and nerve conduction study (EMG/NCS) approximately one year into his symptoms showed findings consistent with a severe axonal length-dependent sensorimotor neuropathy, including absent bilateral fibular motor responses at the extensor digitorum brevis, absent bilateral tibial motor responses, reduced amplitude of the bilateral fibular compound muscle action potentials at the tibialis anterior, absent bilateral sural sensory responses, fibrillation potentials and positive sharp waves in the left tibialis anterior and gastrocnemius, and increased incidence of high amplitude motor unit action potentials and reduced motor unit action potential recruitment in the left tibialis anterior and gastrocnemius

Distinguish biomarkers from outcomes : Recognize that biomarker-based health monitoring can signal exploratory trends but does not always prove hard clinical outcomes

Arthrospira platensis Arthrospira platensis (Spirulina) is a type of blue-green algae that has significant value because many compounds with bioactivity can be synthesized that are useful in the health advantages of this organism (Eltantawy et al., 2018)

Variations in the MTHFR gene can affect how the body metabolises B vitamins, including B12