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Neurology 1983, 33: 1136-1140

doi: 10.3389/fnut.2021.699555
Since the myelin sheath that protects nerve cells is in continual flux the methylmalonyl-CoA-induced inhibition of fatty acid synthesis results in the eventual destruction of the sheath

Vital signs were stable
many are constitutively expressed at low levels and increase modestly with physiological stimuli
