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When to contact your healthcare professional : Seek medical advice if you experience significantly elevated blood glucose readings (consistently above 15 mmol/L) or symptoms of hyperglycaemia (excessive thirst, frequent urination, fatigue) Seek urgent medical attention for severe, persistent abdominal pain (with or without vomiting) which could indicate pancreatitis, or symptoms of gallbladder disease (right upper abdominal pain, fever, jaundice) Contact your GP if you are considering stopping your medication Never discontinue prescribed diabetes treatment without medical supervision

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For VLCAD deficiency, we recently proposed a dietary treatment strategy based on a functional assay that measures the overall lcFAO flux in skin fibroblasts [52]

Sun M, Estrov Z, Ji Y, Coombes KR, Harris DH, Kurzrock R