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The neurological aspects of the disease are thought to arise from the accumulation of methylmalonyl- CoA due to the requirement of B 12 as a cofactor to the enzyme methylmalonyl-CoA mutase

~28 days at 28C Yes multi-use Contamination risk (preserved) Greatly reduced ~4.5 7.0 Tip: Bacteriostatic Water flows predictably and dissolves lyophilized peptide powder evenly when introduced slowly along the vial wall minimizing foaming and preserving peptide structure

doi: 10.1016/0024-3205(96)00066-5

Metabolic disturbances : Excessive lipolysis may theoretically elevate free fatty acids, potentially affecting liver function or lipid profiles, though this has not been studied in this context