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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

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In contrast, Ipamorelin is a pentapeptide (Aib-His-D-2-Nal-D-Phe-Lys-NH2)

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Since Phentermine can raise blood pressure, it may also increase intraocular pressure, worsening the condition and potentially leading to vision loss