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Consistent with this, KEGG pathway analysis revealed downregulation of -oxidation in KO mice, accompanied by upregulation of glycolysis and mitochondrial oxidative phosphorylation, reflecting a systemic shift in fuel preference toward carbohydrates driven by carnitine depletion and impaired fatty acid oxidation

Patients carrying variants associated with reduced receptor function may tolerate higher nominal doses, while those with enhanced receptor sensitivity face greater nausea at therapeutic doses