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It typically presents as macrocytic megaloblastic anemia and neurological impairments, including sensory and motor disfunctions, predominantly in the lower extremities, ataxia, and in more advanced stages cognitive decline progressing to dementia, as well as psychiatric disturbances (Green et al., 2017)

TPE has been used as part of treatment plans for Alzheimers disease, inflammatory conditions, chronic viral infections, kidney issues, and more by reducing the protein and harmful components in the body

This, in turn, suppresses tumor growth and enhances chemotherapy efficacy

This is one reason injections may be discussed for men whose erections have changed after prostate surgery, radiation, or hormone therapy