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After reviewing literature and conducting a two-round Delphi survey with 42 experts, a consensus emerged that emphasizes prioritizing clinical symptoms in diagnosis, with serum B12 as a screening marker supported by methylmalonic acid or homocysteine levels for additional confirmation

Store the peptide powder at a minimum of +4C for short-term use, and ideally at -20C or lower for long-term storage

Deficiency of cystathionine gamma-lyase and hepatic cholesterol accumulation during mouse fatty liver development

However, it is to be noted that the results in animal models may not be similar to the results in humans