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In addition, the accumulation of acylcarnitine in the pathological state of the liver leads to insulin resistance, which further aggravates the development of liver diseases and results in a vicious cycle [211]

2018 Feb/Mar;80(2):126-140

In this case, the ketogenic diet is contraindicated for a simple reason: the body of a person suffering from MHADD cannot effectively switch to fats as the main source of energy