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Actin is a structural protein that plays a central role in cell movement and organization

BMC Psychiatry

A muscle spasm (Charley horse) can cause sudden, sharp pain, tightness, and involuntary muscle contraction, ranging from mild discomfort to intense pain

Haematological disorders: Specialist haematology management, which may include targeted therapies for myeloproliferative disorders or treatment of underlying malignancy

At the same time, B12 insufficiency in the liver leads to shrinking of the intestinal cells and malabsorption of nutrients (including B12 itself), leading to a cycle of worsening B12 deficiency