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Fineman MS, Mace KF, Diamant M, Darsow T, Cirincione BB, Booker Porter TK, et al

doi: 10.1016/j.apsb.2022.03.025

[4] Based on animal research, it is thought that the increased methylmalonyl-CoA hydrolyzes to form methylmalonate (methylmalonic acid), a neurotoxic dicarboxylic acid, causing neurological deterioration