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Inborn errors of metabolism with myopathy: defects of fatty acid oxidation and the carnitine shuttle system

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239 , 240 , 241 Several underlying mechanisms have been suggested and described, for example, the decrease in lowgrade chronic inflammation, modulation of cytokine microenvironment, restoration of the antioxidant mechanisms, improvement in immune defense against pathogens, increase in telomerase length and activity, modulation of cytokine signaling, and increase in autophagyinduced mitochondrial functions

[20] The median age was 38.4 years

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As mentioned by this 2015 review, vitamin B12 can mostly be found in animal products, such as meat and dairy