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Injectable or topical directly to the area (depending on wound type)

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Propionyl-CoA Carboxylase Propionyl-CoA carboxylase converts the propionyl-CoA derived from the oxidation of valine, methionine, isoleucine, and threonine, as well as fatty acids with odd numbers of carbon acids, into methylmalonyl-CoA

These associations remained significant after adjustment for maternal age, body mass index (BMI), parity, and gestational age at sampling (Table 4)

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The inability to terminate this reparative process leads to persistent fibrosis with increasing age