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J Clin Endocrinol Metab 93:42104217

We were mug enough to sell our vital infrastructure to those abroad

In the face of vitamin B 12 deficiency, conversion of methylmalonyl-CoA to succinyl-CoA cannot take place, which results in accumulation of methylmalonyl-CoA and aberrant fatty acid synthesis

The regional tectonic structures represented in the model are the ND, the SFB, Central Plateau or Interior Highlands of Nicaragua, the Mesozoic-Cenozoic oceanic complexes (MCOC) and the San Carlos Basin (SCB) in Costa Rica