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D51.9 - Vitamin B12 deficiency, unspecified : This code is utilized when the exact cause of Vitamin B12 deficiency is not specified in the medical records

This results from a tyramine-induced depletion of norepinephrine normally present in the readily releasable vesicle pool, and replacement of vesicular norepinephrine with tyramine (which functions as a false- or pseudo- neurotransmitter), which when released has no effect on postsynaptic adrenergic receptors (Figure 1)

Redox Biol (2019) 26:101255

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doi: 10.1007/978-94-015-7658-1_21 147 BakerENBlundellTLCutfieldJFDodsonEJDodsonGGHodgkinDMCet al