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A specific mutation, p.P46S, has only been identified in asymptomatic or minimally symptomatic (easy fatigability, muscle pain with exercise, fasting intolerance) adult women [145]

Additionally, Table 2 shows a significant negative correlation between the antral length by ultrasound and GI symptoms score in all cases and the group who received KD with L-carnitine supplementation indicating that an increase in antral length was associated with clinical improvement of GI symptoms

[DOI] [PubMed] [Google Scholar] 32.Phillips C, Owens D, Collins P, Tomkin GH
