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It may point to liver disease, blood disorders or an underlying cancer that has not yet been detected

These processes integrate the perception and interpretation of visual information with memory and executive systems by involving various brain areas, including the occipito-parietal regions, the dorsal and ventral streams, and connections with the cingulate, medial temporal, and frontal cortices 7

The figure shows the precursors of L-methylmalonyl-CoA: Fatty acids and amino acids can be metabolized to propionyl-CoA, which is converted to D-methylmalonyl-CoA and then to L-methylmalonyl-CoA