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Always consult a healthcare provider if you have specific medical concerns

Numerous factors, including nutrition, host genetics, age, medications, and lifestyle, shape the composition and functionality of the gut microbiota

Certain medicines, such as valproate

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Alternatively, accumulated methylmalonate and methylpropionate, precursors of the cobalamin-dependent synthesis of succinyl-CoA, may be incorporated abnormally into branched-chain fatty acids, resulting in abnormal myelination (88)