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This reaction occurs at a rate 10- to 30-fold higher than the hydrolysis of TAG, which is the initiating and rate-limiting step in lipolysis (40)
In: ACSAP 2015 Book 1Neurologic and Psychiatric Care
If normal, start 1000 mcg oral b12 daily as prevention given multiple risk factors (age, metformin, PPI, now semaglutide)