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Fast Market Disruption Indian clinicians and patients quickly adopt more affordable alternatives, and brand loyalty is far less rigid than in Western markets

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4-trimethylaminobutyraldehyde is then dehydrogenated by 4-trimethylaminobutanal dehydrogenase (TMABA-DH) results in the formation of 4-trimethylammoniobutanoate, also known as butyrobetaine

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