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Since G6PD deficiency causes a lack of NADPH, the body cannot reduce methemoglobin to hemoglobin

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Antoniuk, S., Bijata, M., Ponimaskin, E

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As a result, propionic acid and its metabolic precursors accumulate, leading to the production of toxic metabolites such as 3-hydroxypropionic acid and methyl citrate, contributing to the nonspecific clinical manifestations and severity in PA

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Food sources include legumes, seeds, bran and whole grains

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