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Medium-chain acyl-coenzyme A dehydrogenase (MCAD)
 
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Published: 18 y
 

Medium-chain acyl-coenzyme A dehydrogenase (MCAD)


I have recently found out that I have a disease, I am very excited that I finally know what it is because I have been living with the unknown all my life, any way this is what it is:
Medium-chain acyl-coenzyme A dehydrogenase (MCAD) is one of the enzymes involved in mitochondrial fatty acid ß-oxidation, which fuels hepatic ketogenesis, a major source of energy once hepatic glycogen stores become depleted during prolonged fasting and periods of higher energy demands. In a typical clinical scenario, a previously healthy child with MCAD deficiency presents with hypoketotic hypoglycemia, vomiting, and lethargy triggered by a common illness. Seizures may occur. Such an episode may quickly progress to coma and death. Hepatomegaly and acute liver disease are often present. Children are normal at birth and typically present between three and 24 months of age; later presentation, even into adulthood, is possible. The prognosis is excellent once the diagnosis is established and frequent feedings are instituted to avoid any prolonged period of fasting.

I am trying to learn what I can and can not eat. I looked into low fat diets but it says I can not eat sugar? I thought sugar does not have fatty acids? I dunno, see I am so confused on what I can and can not eat.
 

 
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