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Prenatal exposure of progestin in pregnant mice reduced estrogen receptor (ER) expression in the amygdala leading to autism-like behavior

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Treatment considerations include: Concurrent folate supplementation if deficient (never give folate alone, as it may precipitate neurological deterioration) Potassium monitoring during initial treatment in severe anaemia or at-risk patients (e.g., those with heart failure) Response assessment: reticulocyte count peaks at 57 days, haemoglobin normalises within 68 weeks Neurological symptoms may take 612 months to improve and may not fully resolve Patients should be advised that treatment for pernicious anaemia or post-surgical deficiency is lifelong

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Critics argue this structural arrangement compromised the committee's ability to function as the independent scientific check the advisory process was designed to provide