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This condition was first described in 1966 (76) and may present as a subacute or acute encephalopathy with seizures and stroke-like episodes, often in association with myoclonus and tremor (77)

Deficiency in vitamin B12 can lead to the accumulation of methylmalonyl-CoA, which is subsequently converted to methylmalonic acid (MMA) (, , )

At Primary Care of Clear Lake, we are committed to providing our patients with the latest and most effective options for managing obesity and related health conditions