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Method: GC-MS (Gas Chromatography/Mass Spectrometry) measuring organic acid metabolites in urine (CLIA 17D0919496); not cleared or approved by the FDA. Results in mmol/mol creatinine. Not a stand-alone diagnosis; should be interpreted in clinical context.
Succinic acid is processed by the SDH enzyme, which operates in two mitochondrial energy systems at once, with the step depending on iron, riboflavin, and CoQ10.
