Thiamine deficiency is characterized by confusion, oculomotor abnormalities, and difficulty walking, all of which were observed in this patient
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In other mental illnesses such as depression, B12 plays a role because it has an effect on the formation of neurotransmitters special chemical messengers that significantly affect our mood
They can inhibit adipogenesis by regulating key signaling pathways and transcription factors such as PPAR and C/EBP, thereby limiting the formation and differentiation of new adipocytes (497)
Genital lesions, especially those occurring in the vulva, often show more prominent atypical features, such as moderate to severe cytologic atypia (epithelioid cells with prominent nucleoli) and occasional pagetoid spread