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Description
Mol Cell Biochem (2014) 386:7383

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For this purpose, 4-chloro-3-hydroxybutyronitrile is synthesized from epichlorohydrin in an aqueous hydrogen cyanide solution, 4-chloro-3-hydroxy butyric acid alkyl ester is then synthesized from the 4-chloro-3-hydroxybutyronitrile in the presence of an alcohol and a sulfuric acid catalyst, and the racemic 4-chloro-3 -hydroxy butyric acid alkyl ester is hydrolyzed in an aqueous solution using an enzyme, thereby preparing (R)-4-chloro-3-hydroxy butyric acid alkyl ester

2014 Jun;63(6):996-1004

Watch for warning signs : Contact your licensed provider if you notice persistent redness, swelling, bruising, warmth, pus or other signs of infection, as well as any unexpected side effects
