Essay
Suppose you found an overly high level of pyruvate in a patient's blood and urine. One possible cause is a genetic defect in the enzyme pyruvate dehydrogenase, but another plausible cause is a specific vitamin deficiency. Explain what vitamin might be deficient in the diet, and why that would account for high levels of pyruvate to be excreted in the urine. How would you determine which explanation is correct?
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