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This condition remains untreated, yet it significantly influences cognitive decline and stroke incidence among older individuals

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Self-administration or changing the dosage without medical advice may lead to inadequate treatment of the deficiency or adverse effects

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

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