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The immune system releases autoantibodies which attacks acetylcholine receptors at the neuromuscular junction, often linked to thymus abnormalities, genetics, or environmental triggers

doi: 10.1056/NEJMc1006581

The body cannot produce B12 and therefore it is important to eat nutritious food so that the body can instead absorb vitamin B12 via the diet

90 Moreover, tryptophan metabolism mediated by IDO affects not only the Kyn pathway but also other pathways, such as the purine, nicotinamide, and pyrimidine metabolism pathways, ultimately leading to decreased T-cell function