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In MCADD, the amount of energy normally derived from ketones during a fast is limited

As E2 and E3 mice are known to have increased longevity relative to E4 mice ( Although ApoE4 has been shown to disrupt Blood Brain Barrier (BBB) integrity and reduce its glucose uptake ( APOE genotype effect on the cerebrovascular uptake of L-carnitine, its metabolites, or FAs at 26 weeks of age

In multivariate analysis, DPN was independently associated with CVD (odds ratio, 1.801

(5) Wall BT, et al
