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People with VLCADD often inherit two different mutations, which leads to combinations that can cause different phenotypes
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Oral vitamin B12 supplements have several advantages over injections: They are more cost-effective They are more convenient, as they do not require a visit to a healthcare facility or a home visit from a healthcare professional for administration The risk of an allergic reaction is typically lower with oral supplements than with injections
Pre-existing osteoarthritis, increased physical activity, dehydration, and weight-loss-triggered gout flares may also contribute
