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Reduction in the activity of this enzyme decreases the conversion of substrates into fatty acids, thereby shifting cellular metabolism toward lipid mobilization rather than storage [1]

These signs overlap with the symptoms of pernicious anemia, because PA is a form of B12 deficiency

EKG: Sinus Tachycardia, otherwise normal Urinalysis: Specific Gravity 1.010

However, in both of these studies, the subjects enrolled were mild asthmatics who had achieved good symptom control on low doses of inhaled corticosteroids (237, 348)

Pre-existing conditions such as liver disease, kidney problems, or known allergies can increase the risk of adverse reactions