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This results in a lack of energy production from fatty acids, which causes symptoms ranging from tiredness and hypoglycemia (glucose being used extensively as an energy source) to accumulation of fat in the liver and other organs, and damage to heart and muscle tissues

[DOI] [PubMed] [Google Scholar] Brubacher JR, Dahghani P, McKnight D

Discussion There was a high level of agreement to take part in the study by the families and the high rate of involvement of siblings demonstrated willingness to contribute to greater knowledge in this area

Glycogen thus becomes available for longer, which delays the onset of fatigue