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However, the majority of patients in literature presents in adolescence or adulthood with myopathy as first complaint [106]

In the kidney, betaine helps stabilize cellular proteins from urea and it acts as a methyl group donor in the liver

Cognitive scores Due to technical problems, we were unable to acquire cognitive data for all the participants

In patients with SCD, it is crucial to prevent hypoglycemic episodes by frequent feeding and avoid fasting during day time and continuous corn starch supply during the night.[3][17][3] Patients should consume high carbohydrates and low-fat diets that provide energy in the form of medium-chain triglycerides, which can enter into the mitochondria in the absence of a carnitine shuttle.[21] Enhancing Healthcare Team Outcomes In the U.S., newborn screening identifies most cases of PCD

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