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The neurological aspects of the disease are thought to arise from the accumulation of methylmalonyl- CoA due to the requirement of B 12 as a cofactor to the enzyme methylmalonyl-CoA mutase

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On the other hand, the relative abundance of Firmicutes decreased within a 48-h incubation period, resulting in an overall decrease in the Firmicutes/Bacteroidetes (F/B) population ratio

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Economic stability, another key driver of health, can be strengthened through improved access to affordable health care, summer job programs and workforce training for youth, financial literacy initiatives and incentives that help small businesses grow in economically underserved areas