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For caregivers familiar with BG testing at home, spot BG measurements are recommended whenever it is suspected that the cat is unwell

In one embodiment, a=1 and b=0 and, preferably, when 2 of AA 1 to AA 6 are replaced, AA 3 is replaced by Asp and AA 4 is replaced by Glu

Risks factors include age under 24 months (especially those with organic brain disease), developmental delay, coincident congenital metabolic disorders, previous liver dysfunction, or severe epilepsy treated with polytherapy or ketogenic diets [23, 51, 52]

4a and Extended Data Fig

A high conversion rate of choline into methylamines, such as TMAO, decreased choline levels and causes fatty liver disease in mice [35]

pp 183204 Pettegrew JW, Post JFM, Panchalingam K