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alpha glutathione s transferase X-ray structure of S-transferase from the malarial parasite Plasmodium falciparum Glutathione S-transferase alpha 4 (Gsta4)
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The case reports in this manuscript detail a series of patients who experienced distinct and potentially novel adverse reactions following the administration of tirzepatide, including palpitations, musculoskeletal pain, and headaches

Her exam otherwise is unremarkable

However, a posterior analysis done specifically in those methylcobalamin-treated patients who were diagnosed and started the study earlier (a year or less after symptom onset) showed that methylcobalamin exhibited efficacy, or a trend towards efficacy
