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Increasing protein intake may be necessary to provide an alternate source for glucose via gluconeogenesis in ketotic GSD types [33, 51]

For individuals living with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and postural orthostatic tachycardia syndrome (POTS), this cellular energy deficit is often experienced as a profound metabolic inflexibility

Vilar, L., Fleseriu, M