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This document outlines the steps in the synthesis of heme from succinyl CoA and glycine. Heme synthesis involves 10 enzymatic steps that convert succinyl CoA and glycine into protoporphyrin IX, which is then combined with iron by ferrochelatase to produce heme. Key intermediates include δ-aminolevulinate, porphobilinogen, uroporphyrinogen III, coproporphyrinogen III, and protoporphyrinogen III.

