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Sunil VR, Vayas KN, Cervelli JA, et al

Taken all together, these results led to the proposed model that oligodendrocytes sense and use axon diameter as a cue to initiate oligodendrocytes intrinsic ability to form myelin sheaths and establish CNS myelin sheath lengths 25

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Patients with simple steatosis and no additional risk factors may require testing only if symptoms develop, whilst those with advanced liver disease or on medications affecting B12 absorption might benefit from periodic monitoring as advised by their GP or specialist