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It plays an important role in the production of red blood cells, which transport oxygen throughout the body, and white blood cells, which fight infection

Caspase-3 is often described as an executioner enzyme in the programmed cell death pathway, because once it becomes activated and cleaved, it appears to orchestrate the dismantling of the cell through the proteolytic breakdown of essential structural and regulatory proteins

Patients should seek urgent medical review if neurological symptoms worsen or fail to improve after 46 weeks of appropriate treatment

Your GP or bariatric team can advise on local laboratory pathways for these investigations