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For further guidance, refer to Q&A-86 in IRS Notice 2004-50

4 to 12 months Neurodegeneration Developmental regression No speech No ambulation Seizures (80%) Some patients: Ataxia, Dystonia, Optic atrophy Course: Death in 1st decade Laboratory Serum lactate: High (60%) Mitochondrial oxidative enzymes: Complex II activity reduced Brain MRI Cerebellar & Brainstem atrophy Basal ganglia signal Leukodystrophy: More severe disease MMDS7: Glycine Encephalopathy Glycine cleavage system H protein gene (GCSH)

Its rhizome is short and bulbous, the stem is thick and unbranched, and its fleshy leaves, coated with a thick wax layer, have a distinctive bluish-green color that turns yellow and orange in autumn

Discussing your test results with your healthcare provider ensures all interventions work synergistically and safely within your unique biological framework