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Despite its high prevalence, the disease is often underestimated by breeders in the field

Those taking medications that affect gastric emptying or those with gastroparesis may experience different response patterns

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Enzymatic testing Measurement of VLCAD activity in fibroblasts and lymphocytes can be used to confirm diagnosis and involves the conversion of palmitoyl-CoA in the presence of ferrocenium hexafluorophosphate as electron acceptor