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When this paradigm was explored in patients with cervical dystonia, cerebellar cortex excitation and inhibition induced the exact opposite modulatory effect on PAS-induced plasticitya pattern observed also in healthy controls voluntarily maintaining a turned head or maintaining the head straight and having the sternocleidomastoid muscle vibrated [251]

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Other risk factors for B12 deficiency that may coexist include proton pump inhibitor or H2-antagonist use, vegan/vegetarian diets, previous bariatric surgery, pernicious anaemia, and other malabsorptive conditions