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Description
The mechanisms behind this condition have not been universally accepted yet [8]

Khandkar C, Madhavan MV, Weaver JC, Celermajer DS, Karimi Galougahi K
ROS and RNS production in physiological conditions is maintained at low levels [25, 26] and used to regulate various physiological functions, including cell signaling, homeostasis, vascular tone, and immune reactions [27]

If fatty acid oxidation is defective, fat cannot be utilized, glucose is consumed without regeneration via gluconeogenesis (due to inhibition of pyruvate carboxylase), ketones cannot be produced and there is a drop in glucose levels (hypoglycemia)