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A Delphi clinical practice protocol for the management of very long chain acyl-CoA dehydrogenase deficiency

Lancet 364: 14351437, 2004 [DOI] [PubMed] [Google Scholar] 85.Fukuchi M, Shimabukuro M, Shimajiri Y, Oshiro Y, Higa M, Akamine H, Komiya I, Takasu N

Figure 10 Complete loss of activity was observed after EDTA treatment and dialysis of MDH
So the body will only activate what is needed, which in the setting of a bleed will be the 4 clotting factors
