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The second step in BH 4 synthesis, catalyzed by 6-pyruvoyltetrahydropterin synthase (PTPS), involves the Zn 2+ and Mg 2+ -dependent rearrangement of 7,8-dihydroneopterin triphosphate, with concommitant loss of the triphosphate, to 6-pyruvoyltetrahydropterin

Kurtzhals, P., Flindt Kreiner, F., & Singh Bindra, R

3oz smoked salmon, whole grain crackers, cucumber slices, and a wedge of laughing cow light cheese

A multidisciplinary approach and shared decision-making remain key to balancing the benefits of these therapies with their potential risks during the perioperative period