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Experimental evidence supporting a role for nicotine includes its potential capacity to inhibit the action of striatal DAT or to increase action potentials along nigrostriatal axons, increasing dopamine levels in the synaptic gap 67,68

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If the patient is being referred on for a full orthoptic workup, record intermittent heterotropia, type and laterality to be confirmed at specialist assessment. This legitimizes H50.30 on the referral encounter claim