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2.1.2 MAM1: The commitment step in chain elongation Following initial transamination, Methylthioalkylmalate Synthase 1 (MAM1) catalyzes the first condensation reaction, representing the committing step in side-chain elongation (17, 18)

Someone on tirzepatide plus a statin plus an antidepressant, for example, faces a more complex interaction picture than someone on tirzepatide alone