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Intramuscular is the exception, not the rule
Over 12 different genetic loci have been associated with congenital hyperinsulinism but the most common genetic cause, which accounts for up to 60% of cases (27), are inactivating mutations in ABCC8 and KCNJ11 , which encode the two subunits of the beta cell K ATP channel
Thus, the demonstrated kinetics of generation and decay of the metabolites monitored followed the anticipated precursorproduct relationships, and were entirely consistent with the initial microbial conversion of l-carnitine to BB, followed by transformation of BB to TMA, reaction kinetics akin to the dynamics of l-carnitine catabolism observed with the human commensals P