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Porphyria cutanea tarda (PCT) PCT is predominantly sporadic, while 20% of individuals will have a positive family history

Chiu, M., et al

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This process depends on: Vitamin B6 (P5P) as an essential enzyme cofactor Adequate availability of glycine and glutamate Sufficient cellular energy (ATP) Proper liver and mitochondrial function When this pathway is inefficient, glutathione production may be impaired even if homocysteine, B12, or folate levels appear normal