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These defects relate to an enzyme called MTHFR and are very common, though they vary enormously between ethnic groups and regions!

As alternative to aqueous ammonia, but the process suffered from its incapability to large scale production due to lack of effective mixing of reactants and reagents since ammonia gas has less solubility in these solvents.
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Patients whose fetal hemoglobin levels increase with the combination therapy of hydroxyurea and L-arginine or Sildenafil may continue to take them.

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