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The Sandoval Lake excursion is an unmissable destination within the Tambopata National Reserve in the Madre de Dios region

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Microtubules stability is a major determinant of axonal growth and neuronal polarization during axon formation (Takei et al., 2000

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Vitamin B12 deficiency is also more frequently found in individuals of advanced age

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Where clinical suspicion remains high despite a normal serum B12, additional markers may be requested, including: Holotranscobalamin (active B12) a more specific marker of B12 status, available in some UK laboratories as an alternative or confirmatory test [11] [12] Methylmalonic acid (MMA) elevated in functional B12 deficiency

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