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10.1038/nrm3311 29 HarhayG

doi: 10.1089/ham.2018.0133
When fatty acid oxidation is disturbed, fats cannot be used, so glucose is used without regeneration in the cycle of gluconeogenesis because of pyruvate carboxylase inhibition, ketone bodies cannot be produced, glucose level (hypoglycemia) decreases, and brain functioning impairment with loss of consciousness can occur [83]

Decreases in Homeostatic Model Assessment for Insulin Resistance (HOMA-IR), liver fat, and serum alanine aminotransferase have also been reported [103]
