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482 Patients who receive HD may be at risk of the development of carnitine deficiency as a result of loss of carnitine during the dialysis procedure, in addition to possible reductions in dietary intake and endogenous synthesis

A study of 179 diagnosed women, aged 20-75 years, found that being overweight was significantly associated with increased pain severity, reduced physical mobility, and poorer quality of life overall (22)

It is characterized by severe disabling fatigue and a spectrum of symptoms highlighted by self-reported attention and short-term memory impairments, sleep disturbances, and musculoskeletal pain

A hypoketotic result (low blood sugar with no ketones) is a major red flag for an SPCD crisis [1] [14]

The classical forms of the disease are more severe and are likely to be diagnosed early in life, as opposed to the non-classical form, which may be confused with PCOS due to overlapping symptoms, including female infertility