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These spurs can be inhibited by consuming sufficient betacarotene

Copper deficiency can cause a similar picture, including sensory ataxia and myelopathy (spinal cord involvement), and should always be considered alongside B12 deficiency

doi: 10.2174/1570159X11666131120223530

Acknowledgements Open access funds initiated and organized by DEAL project

Yoon JH, Lee JS, Yong SW, Hong JM, Lee PH (2014) Endothelial dysfunction and hyperhomocysteinemia in Parkinsons disease: flow-mediated dilation study
