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[4] Based on animal research, it is thought that the increased methylmalonyl-CoA hydrolyzes to form methylmalonate (methylmalonic acid), a neurotoxic dicarboxylic acid, causing neurological deterioration

Gastric sleeve surgery, formally known as sleeve gastrectomy, involves the surgical removal of approximately 7580% of the stomach, leaving a narrow, tube-shaped pouch

Link Sikiric P, et al

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Equipment to be disposed of in sharps bin: Injecting needle Empty glass ampoule Purple needle used to draw up medicine Equipment to be disposed of in household rubbish: Syringe Cleaning wipes Packaging Sharps bin Close the lid on your sharps bin after each use