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The CBS enzyme catalyzes the reaction

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The expiration of patents opens the door for multiple generic manufacturers to produce lower-cost versions of the medication, which could greatly reduce prices and expand patient access beyond the expensive branded options

Additionally, a study in postmortem Parkinsons disease patients found lower concentrations of total coenzyme Q 10 in the cortex region of the brain compared to age-matched controls, but no differences were seen in other brain areas, including the striatum, substantia nigra, and cerebellum (64)