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Proc Natl Acad Sci U S A 106(23):94479452 Uribe A, Alam M, Johansson O, Midtvedt T, Theodorsson E (1994) Microflora modulates endocrine cells in the gastrointestinal mucosa of the rat

Prolyl-hydroxylase PHD3 interacts with pyruvate dehydrogenase (PDH)-E1 and regulates the cellular PDH activity

This can obscure the correct diagnosis (as I mentioned in one of the first paragraphs) Quality control of serum B12 measurements
This patient's normal vital signs and isolated joint pain without any signs of encephalopathy make a urea cycle defect unlikely

In a more complex way, even before epithelial lesions, there were antecedent endothelial injury, thrombi, and stasis and thus Virchow triad circumstances (although not specifically claimed) that needed to be resolved [44,45,46,47]
