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Re: Methylmalonic Acidemia

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Dear and Others,

We have an excellent chapter on methymalonic acidemia in our book Pediatric

Nutrition in Chronic Diseases and Developmental Disorders. It is a block

in a step of amino acid catabolism that results in the excretion of

abnormally high concentrations of non-amino organic acids. These four amino

acids need to be reduced, isoleucine,valine,threonine, and methionine. There

are fomulas available without these amino acids.

This family needs to be followed by a metabolic pediatrician and dietitian!

The book may be found in a medical library, or from me, or Oxford

University Press , _www.oup.org/us_ (http://www.oup.org/us) , promotion code

24095.

It would be very helpful for all comcerned in handling this problem.

It also contains information on normal pediatric nutrition regarding growth

charts etc.in Section 1.

We also have a very economical self study worth up to 35 ADA credits, for

those interested.

Hope this helps..Contact me if you have further questions.

Shirley Ekvall Ph.D.,RD,LD

Coauthor of Book, Former Chief of Nutr, Cinti Child Hosp Med Ctr, Div of

DD/Prof UC

549 Tohatchi dr, Cincinnati, Ohio, 45215

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