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This multi-step process involves -N-methyltransferasemediated methylation of lysine to form trimethyllysine (TML), followed by sequential oxidation, hydroxylation, and cleavage to generate -butyrobetaine, which is finally hydroxylated by -butyrobetaine hydroxylase (BBOX) to yield free carnitine

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[1] [2] Blood levels of B12 may rise quickly following injection, though elevated blood levels do not immediately translate to symptom resolution

de chemie en de onderzoekscontext zijn identiek aan die van de losse vials