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In five patients who did not receive dexamethasone treatment, a severe phenotype accompanied by tendon tear or rupture was observed, and the total incidence proportion declined from 0.75% to 0.43% with dexamethasone (Supplementary Table S5)

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Elevated SAH, Glutathione and Undermethylation Toxic overload and depression may be connected when environmental exposures, gut-derived toxins, oxidative stress, glutathione depletion and impaired clearance reduce neurological resilience

When treated at the right time, symptoms can settle, and hand function can return to normal

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Until recently, scurvy was considered a historical and forgotten disease