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Propionic acidemia Propionic acidemia (PA) is an autosomal recessive inherited metabolic disorder caused by genetic variants in the PCCA or PCCB genes, leading to propionyl CoA carboxylase (PCC) deficiency (OMIM #606054)

Some patients may experience minor redness or tenderness at the injection site

Pharmacists play an important role in optimizing therapy, ensuring medication safety, supporting adherence, and providing patient education

If sleep quality deteriorates after starting keto on GLP-1, evaluate whether the combination is contributing and consider adjusting meal timing, supplementing with magnesium glycinate before bed, or discussing sleep support with your physician