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A differential for the myelopathy would include various metabolic, toxic, immunologic, and infectious disorders, such as copper deficiency myelopathy (possibly precipitated by zinc toxicity), folate deficiency myelopathy, vitamin E deficiency myelopathy, nitrous oxide toxicity, HIV-related vacuolar myelopathy, HTLV-1-associated myelopathy, neurosyphilis, and possibly Lyme disease
(More information) The preservation of DNA integrity is dependent on folate and vitamin B 12 availability
Yerrington MD.,PA and follows the Riordan Protocol for high dosage vitamin-c patients
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