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Future trials should also measure important outcomes such as the clinical signs and symptoms of vitamin B 12 deficiency, health related-quality of life, socioeconomic effects, and report adverse events adequately, preferably in a primary care setting. Clinical practice guidelines British Columbia Medical Services Commission (MSC)

Overproduction of carnitine monooxygenase subunits CntA and CntB, MSA-DH, MDH and BCCT resulted in a strain that was able to grow slowly on L-carnitine as the sole carbon and energy source (Supplementary Figure S6)

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