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In this era of carbs being demonized, MCADD carriers may need to buck the keto trend or at least be alert for signs of hypoglycemia if eating a low-carb diet

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[PubMed: 11677202] 533

During therapy, if you notice any of the following signs you should call NVC or your veterinarian: Diarrhea or vomiting Appetite loss Decreased water intake Lethargy or listlessness Collapse If any of these signs occur, it may be time for earlier blood testing (ACTH test) or even medication