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And while anecdotal, it also helped to explain how we had observed benefits back in the 1990s

Dietary folate (vitamin B9) undergoes initial conversion to dihydrofolate (DHF), which dihydrofolate reductase (DHFR) subsequently reduces to tetrahydrofolate (THF), the active carrier of 1 C units in the folate cycle [7]

A meta-analysis of more than 25,000 cases reported a rate of 9.8% [489], and a case series of more than 5,000 cases reported a rate of 9% [490], suggesting that vocal cord paralysis occurs in approximately 10% of cases early after surgery [462]

Mehling H, Busjahn A

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