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BVR-A, which catalyzes conversion of BV-a specifically and is expressed in the majority of adult tissues and inducible with stress, and BVR-B which is present during embryogenesis and is an isoform specific for the BV-d and b isomers

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However, I typically tell patients if they have gotten absolutely no benefit after the 2 nd round that we should move on to another treatment option

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They mainly act by binding directly to the enzyme or by interacting with copper molecules in its active site