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Still, the authors are clear about the limits

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Patients can present as heterozygotes with only one gene encoding for an abnormal enzyme, or as a homozygote with both genes encoding for the defective enzyme

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The Journal of pharmacology and experimental therapeutics 2007 Feb;320(2):951-9 Niacin-bound chromium enhances myocardial protection from ischemia-reperfusion injury

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