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Most patients experience gradual symptom improvement over weeks to months after discontinuation

Essentially, that just means that we take out the old wire and place a new one thats a little bit stronger to keep you moving along

The figure shows the precursors of L-methylmalonyl-CoA: Fatty acids and amino acids can be metabolized to propionyl-CoA, which is converted to D-methylmalonyl-CoA and then to L-methylmalonyl-CoA

Reduced cravings and improved appetite control help patients avoid post-meal fatigue

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