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This rapid skeletal muscle tissue damage and intramuscular infiltration of immune cells contribute to PEM-related symptoms

A person weighing 165 lb on a strict vegetarian diet synthesizes approximately 14.4 mg/day endogenously, which meets daily needs [1]

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Wilkins DH, Regechary SS (eds), Neurosurgery, 2nd ed, New York, 1996: 91- 211