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Our experience with the families reported herein adds to the current understanding in connection with phenotype and mutational spectral range of this original inborn error of branched-chain amino acid k-calorie burning, and underscore the high list of suspicion needed for its analysis. Intervertebral disc degeneration (IDD) is a primary cause of diseases such as discogenic low back discomfort, cervical and lumbar disk herniation, degenerative vertebral stenosis, and lum