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The endothelial cells reduce synthesis of nitric oxide, leading to vasoconstriction and increased platelet stickiness, lipoprotein oxidation and with that, increased LDL deposits on arterial walls, activation of the coagulation cascade and limitation of blood flow, resulting in thrombosis and neuronal death.[9,12] High Hcy levels reportedly can have a neurotoxic effect by stimulating the glutamate receptor that induces increased calcium flow to the cells interior

Consent forms were electronically emailed to potential participants allowing time for review, discussion with loved ones, and ability to have all questions answered prior to signing

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This eliminates the need for sterile liquids such as bacteriostatic water vial supplies