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Autophagy is a phagocytic degradation process whose deregulation may contribute to neuronal cell death and is involved in the mechanisms of pathologic conditions, such as cerebral ischemia (Galluzzi et al., 2016

Some people, for instance, have chronic B12 deficiency because of a medical or dietary condition

- **Clinical outcomes**: Progress notes should track changes in exercise capacity, symptoms, and hemoglobin levels to justify continued or repeat courses