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15,89,90 The second category involves synaptic proteins, including cell adhesion, scaffolding, and signalling molecules, which can affect synapse structure and function during different processes of synapse formation, elimination, transmission, and plasticity

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Nutritional status can modulate these signaling pathways by influencing the availability of cofactors and substrates required for enzyme activity and protein synthesis

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Commonly encountered agents were summarized by proposed mechanism, evidence tier, and perioperative considerations ( Table 1 )