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5.2 Disorders of mitochondrial long-chain fatty acid oxidation 5.2.1 Very long-chain acyl-CoA dehydrogenase (VLCAD) deficiency Clinical presentation Patients diagnosed with VLCAD deficiency (OMIM 201475) can suffer from hepatic, cardiac and muscular symptoms that can appear in infancy, but also later during adolescence or adulthood

While Dihexa is generally considered safe, certain individuals may need to exercise extra caution or avoid it altogether

This includes the prescription (if eligible), lab work if necessary, and a clear path for titration

When both secretagogues were present together, the calculated response increased to around 54-fold above saline, which was on the order of 1015% higher than GHRP-2 alone