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Combined methylmalonic aciduria and homocystinuria Late onset disease has better prognosis compared to early onset forms Methods: Case 1: 20yearold male with history of recurrent focal seizures since 5 years of age, acute encephalopathy at 6 years of age followed by poor scholastic performance and progressive spastic paraparesis wheelchair bound since past 2 years

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Tiaminal B12 Injection Overview Tiaminal B12 injection combines thiamine (Vitamin B1) and vitamin B12

Depletion of intestinal microbiome partially rescues bone loss in sickle cell disease male mice
