Available from: Gourgari E, Huerta-Saenz L, Tonyushkina KN, Rosolowsky ET, Guttmann-Bauman I
Ketogenic diet Among IMD energy defects, mitochondrial diseases show a variety of enzymatic defects, contributing to oxidative stress, and require dietary therapy often based on ketogenic diet
Growth hormone optimization is a long-term investment, not an acute treatment
You should contact your GP or practice nurse if you experience: Painful, burning, or stinging sensations when urinating Increased urinary frequency or urgency that is new or unusual Blood in your urine Cloudy or foul-smelling urine Lower abdominal or pelvic pain Mild fever or general malaise Seek urgent medical attention (contact NHS 111 or attend an urgent treatment centre or A&E) if you develop: High fever (above 38C) with chills or rigors Severe pain in your back, side, or groin Persistent vomiting that prevents you from keeping down fluids or oral medicines Confusion or altered mental state Symptoms of sepsis, including rapid heartbeat, rapid breathing, or feeling extremely unwell These symptoms may indicate an upper urinary tract infection or systemic infection requiring immediate assessment and possible hospital admission
