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Although mutations in PhyH are the primary cause of Refsum disease, the syndrome can also result from defects in the peroxisomal protein (PEX7) responsible for the import of PhyH into the peroxisome
Saunders says they should never be prescribed in the absence of a comprehensive evaluation, lifestyle management, and tons of ongoing education and support. Patients in the SURMOUNT-OSA clinical trial received regular lifestyle counseling sessions focused on maintaining healthy nutrition while following a 500 calorie per day deficit and at least 150 minutes of physical activity per week
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