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Trimi providers start every patient at a low dose and increase it gradually to reduce side effects

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Check with your doctor immediately if any of the following side effects occur: Some side effects may occur that usually do not need medical attention

The MCC metabolises propionyl-CoA to pyruvate via the potentially toxic intermediates, 2-methylcitrate and 2-methylisocitrate (Russell et al, 2010)

If you make a large batch, you could leave out 50ml of water and take 50ml of water, add in 25g of baking soda, add 10ml at a time until you get a pH of 7 or higher