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Seizures usually occur within the first 2 years of life, and about half of the affected individuals present with West syndrome [121]

becomes particularly relevant, and the answer truly varies depending on a few key factors: The Underlying Cause of Deficiency: The Underlying Cause of Deficiency: Pernicious Anaemia/Malabsorption: For those with an inability to absorb B12 orally (like in pernicious anaemia), injections are typically a lifelong treatment

The mechanism likely involves correction of oxidative stress and modulation of glutamate signaling via the cystine-glutamate antiporter (system Xc-) [73][74]

The enzyme is, however, active toward the N -acetyl derivative of S -(benzyl)-l-cysteine, various substituted benzyl-l-cysteines, and at least eight cysteine S -conjugates derived from halogenated alkenes

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