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Some of the first symptoms of a metabolic crisis are: extreme sleepiness behavior changes irritable mood poor appetite Other symptoms then follow: fever nausea diarrhea vomiting hypoglycemia If a metabolic crisis is not treated, a child with CTD can develop: breathing problems swelling of the brain seizuresThese are also called "convulsions" or "fits." During a seizure, a person loses consciousness and control of his or her muscles

Carbamoyl phosphate synthetase is a key enzyme in the urea cycle, so impairment leads to urea cycle dysfunction with ammonia accumulation

We also always recommend that you check each individual product for any allergen concerns and also discuss them with your health care professional to determine which products are appropriate for your nutritional needs

doi: 10.1002/fsn3.3595 27

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An association of large-fibre peripheral nerve dysfunction with non-invasive measures of liver fibrosis secondary to non-alcoholic fatty liver disease in diabetes