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It is the depletion of oxaloacetate because of the formation of methylcitrate that accounts for her ketosis - she has limited capacity to oxidise acetyl CoA

In one embodiment, the heterocyclyl group is a 6 to 10 membered ring system where the atoms of the ring or rings consist of carbon atoms and from 1 to 4 heteroatoms and where the ring system optionally contains one or two double bonds

5.Are there any early signs of kidney tubular damage, such as unusual electrolyte levels, that have shown up in my child's past lab results

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