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Folate deficiency in these patients is usually more severe than vitamin B12 deficiency

Consider keeping a simple daily log noting pain levels during specific activities, grip strength changes, and any other relevant observations

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Pharmaceutics 13 (2), 291

LIAS binds two [4Fe-4S] clustersthe first mediates a radical SAM reaction that activates the aliphatic chain for sulfur attachment, while the second acts as a sulfur donor and must be replenished after each reaction 58