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Prompt parenteral (intramuscular) B12 treatment is recommended in such cases, in line with BSH guidance, to prevent further or irreversible neurological injury

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Summarizing the induction of apoptosis results, it should be emphasized that the studied extract induced activation of both intrinsic and extrinsic apoptosis pathways, wherein the extrinsic pathway eventually amplified the intrinsic pathway through the caspase-8-mediated truncation of Bid