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MMA can be treated with cobalamin injections on an individual basis, and long-term treatment includes the use of special formulas limiting the precursor substances of propionic acid (methionine-, valine-, threonine-, and isoleucine-free): high-calorie diets are provided to support growth and development, carnitine supplementation is recommended to promote organic acid excretion, and application of antibiotics can be used to reduce the intestinal flora

These professionals may include family doctors, orthopaedic surgeons, rheumatologists, physical and occupational therapists, social workers, and rehabilitation specialists

Preston, J

Do not use L-carnitine tablets unless prescribed by a doctor and diagnosed as necessary

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