Alpha-Ketoisovalerate requires Vitamin B1, B5, lipoic acid, B2, and B3 (in descending order of significance) to be metabolized. As your food is broken down, specific compounds are formed at steps that require B vitamin assistance. a-Ketoisovalerateis one of these compounds. If these nutrients are insufficient, the keto acids may build up in the urine.
If pyruvate and α-ketoglutarate are also both elevated, then there may be a strong need for these specific nutrients since all of them utilize a dehydrogenase enzyme.
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