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The panel agreed that initial treatment should be parenteral for severe cases, while high-dose oral B12 can be considered for maintenance
Reis-Barbosa PH, Marcondes-de-Castro IA, Marinho TS, Aguila MB, Mandarim-de-Lacerda CA
The two additional enzymes are carnitine O -acetyltransferase encoded by the CRAT gene and carnitine octanoyltransferase encoded by the CROT gene
Most side effects can be managed with adjustments and support
Similarly, hypervitaminosis D may lead to hypercalcemia, nephrocalcinosis, and vascular calcifications 60
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