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  "notes": "Includes a biological process diagram showing intracellular vs plasma metabolism.",
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      "text": "Elevated levels of plasma total homocysteine increase risk for disease manifestations; Reduction of plasma total homocysteine has been correlated with reduced risk of developing disease manifestations; Generally accepted aim of treatment is to lower the plasma total homocysteine concentration below certain thresholds to reduce risk of disease-related events",
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      "text": "Mudd, Skovby et al. 1985, Al-Dewik, Ali et al. 2019; Mudd, Skovby et al. 1985, Wilcken and Wilcken 1997, Yap and Naughten 1998",
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