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The figure shows the precursors of L-methylmalonyl-CoA: Fatty acids and amino acids can be metabolized to propionyl-CoA, which is converted to D-methylmalonyl-CoA and then to L-methylmalonyl-CoA

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Florida, 2011: A dozen individuals in South Florida developed streptococcus endophthalmitis infections after eye injections of bevacizumab prepared by a compounding pharmacy