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162 Pancreatic polypeptide is known to reduce pancreatic secretion to slow digestion but the effects on the rest of the GIT in humans are not currently clear

To bypass this impenetrable barrier, the cell relies entirely on a three-step biochemical pathway known in medical literature as the carnitine shuttle

8,9 Manifestations Vitamin B 12 deficiency affects multiple systems, and sequelae vary in severity from mild fatigue to severe neurologic impairment 1,2,6,10 (Table 2 4,10 )