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2010a, b)

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The clinical and biochemical features of the 3 patients reported here demonstrate that at least certain BBOX1 variants cause a significant phenotype affecting neuromuscular and psycho-mental development and functioning

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Common triggers include citrus fruits, tomato products, spicy foods, chocolate, caffeine, and alcohol, though individual sensitivities vary significantly

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Vitamin B12 deficiency is a real, treatable condition but the right treatment depends entirely on accurate diagnosis

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