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The level of GSTM3 expression was significantly lower in cancerous tissues compared to para-cancerous tissues (Figure 1C)
PMID 20833867
This is consistent with the fact that examination of the fatty-acid oxidation pathway in fibroblast culture did not reveal any abnormalities to explain the elevations in acyl-carnitines
In addition, if a patients clinical situation strongly suggests vitamin B12 deficiency (eg, based on characteristic neurologic abnormalities), MMA or fasting homocysteine levels should be determined, even if the lab reports a normal or even high vitamin B12 level
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