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Nevertheless, consistency and quality remain important considerations throughout the evaluation process

Nevertheless, studies utilizing more specific biomarkers of vitamin B 12 status, including measures of holo-transcobalamin and methylmalonic acid, have shown more consistent results and a trend towards associations between poor vitamin B 12 status and faster cognitive decline and increased risk of Alzheimers disease (82-86)

26,74 It is thought damaged hair cells release excessive amounts of glutamate, the main excitatory neurotransmitter, causing dysfunctional nerve activation that can result in tinnitus

Its own activity is sensitive to the cell's NAD+ and metabolic state