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Hickmann F, Cecatto C, Kleemann D, Monteiro W, Castilho R, Amaral A, Wajner M (2015) Uncoupling, metabolic inhibition and induction of mitochondrial permeability transition in rat liver mitochondria caused by the major long-chain hydroxyl monocarboxylic fatty acids accumulating in LCHAD deficiency

If the forearm ischemic test result is abnormal (in line with glycolysis pathway enzymatic deficiencies), then genetic testing for McArdles disease is in order as the latter is the most common glycolytic pathway enzyme deficiency

Dietary Fiber