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141 The active form of this vitamin in patients with functional transcobalamin II and normal B 12 cell metabolism can inhibit production of this biomarker by indirect mechanisms, that is, through downregulation of NFκB levels and increased acetylcholine synthesis, which positively modulates the neuro-immune cholinergic anti-inflammatory pathway

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The cave mainly stretches underground for around 3000m and its limestone karst is created by erosion of water flow over a long period of time