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Biochemistry of Medium-Chain Acyl-CoA Dehydrogenase (MCAD) Structure of MCAD Medium-chain acyl-CoA dehydrogenase (MCAD) is a member of the acyl-CoA dehydrogenase family, which includes enzymes that catalyze the first step in the mitochondrial -oxidation of fatty acids

An HD session is then followed by CVVHD to control ammonemia the following hours.27,35 There is a risk of osmolarity shift with HD, especially in infants (personal experience)

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This process not only provides a continuous energy supply for cells but also effectively clears potentially toxic acyl intermediates, thereby maintaining cellular metabolic homeostasis and redox balance