The diagnosis can be confirmed with blood tests, including a blood count to identify the typical type of anemia and a Vitamin B 12 level
Other indirect approaches include targeting upstream regulators like the PI3K/Akt/mTOR pathway, which enhances HIF-1 translation
Importantly, neuroinflammatory processes are closely intertwined with oxidative stress and mitochondrial dysfunction, as inflammatory mediators increase reactive oxygen species production and compromise mitochondrial bioenergetics, further amplifying neuronal vulnerability (33)
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Sparse or moderately dense lymphocytic infiltrates are common