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Mitochondrial aspartate glutamate carrier (citrin) deficiency as the cause of adult-onset type II citrullinemia (CTLN2) and idiopathic neonatal hepatitis (NICCD)

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It often worsens after rest and can be triggered by factors like obesity, improper footwear, or prolonged standing

Subcutaneous injection Standard method for all peptides: Abdomen, thigh, or upper arm Rotate sites daily Clean technique Near joint injection (BPC-157 optional): Within 1-2 inches of affected joint Don't inject directly into joint Use for accessible joints (knee, elbow, ankle) Learn proper injection technique