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According to IKDSG guidelines, KD use is strictly contraindicated in patients with a deficiency of carnitine (primary), carnitine palmitoyltransferase (CPT) 1 or 2, carnitine translocase, pyruvate carboxylase, medium-chain acyl-coenzyme A (CoA) dehydrogenase (MCAD), long-chain acyl-CoA dehydrogenase (LCAD), short-chain acyl-CoA dehydrogenase (SCAD), and disorders of fatty acid -oxidation and porphyria
However, long-term use of supplemental glutathione has been linked to lower zinc levels
Reduction of the m is a common effect of rotenone exposure (Moon et al
Santra, M., Zhang, Z
Thanks, Stephen
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