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Different combinations of the proteins encoded by these two genes generate tissue-specific isoforms of the functional enzymes

Polyneuropathy typically presents gradually, beginning with paresthesia known as burning feet, followed by gait disturbances and variable muscle weakness in the lower limbs ( In the CNS, thiamine deficiency can lead to Wernickes encephalopathy, characterized by nystagmus, ophthalmoplegia, mental status changes, and unsteady stance and gait, due to apoptotic cell death in sensitive brain areas, mainly areas with high metabolic requirement, causing symmetrically distributed lesions among structures such as the third and fourth ventricles, besides dorsomedial thalamus (42)

TB 500 is noted for its role in cell migration, reducing inflammation, and improving flexibility

These factors were not explored in detail in this study

and H.M.M

Sabbadini RA, Danieli-Betto D, Betto R