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Sarcopenia-related changes in serum GLP-1 level affect myogenic differentiation

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Only about 17% of patients under 10 years of age are found to have neuropsychiatric symptoms at presentation, whereas in patients presenting after 18 years of age, 74% experience neurologic manifestations.2,20 It is usually after 10 years of age that patients may manifest evidence of involvement of the other organ systems such as renal, hematologic, and endocrine (Figure 252)

But I will never have either done and would advise that lots of research is done before going down that road, as there is no way back

High-dose B12, given through injections, may help ease these symptoms