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The gut microbiome is no longer a niche research interest
But now is not the time to panic
Adding cagrilintide brings a fourth
(Global TOC criteria is 2 milligauss
In older children or adults it may be considered if there are clinical symptoms suggestive of carnitine deficiency (hypotonia, lethargy), a significant decrease in the serum free carnitine levels, an impairment in hepatic function tests, or hyperammonaemia, even in the absence of VHE
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