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[8] Any deviations from prescriber instructions should be discussed with the supervising clinician

Metabolic testing measures a persons energy expenditure, giving an idea of how many calories an individual needs to function at a state of rest, as well as how many calories that person may burn during daily activities and during exercise

Acylcarnitine is released from abnormal mitochondria in peripheral glial cells to affect surrounding axons, resulting in the destruction of axonal membrane properties and the induction of axonal degeneration, which has been shown to be neurotoxic [116]