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Figure 2 3 Cirrhosis-related appetite disorders, restrictive diet, and malnutrition 3.1 Prevalence, risk factors and mechanisms Chronic liver failure in end-stage cirrhosis often leads to low appetite, nutritional deficits, and malnutrition

The differential diagnosis may include: (1) idiopathic developmental delay or mental retardation (cognitive impairment) (2) cerebral palsy (3) gastroesophageal reflux (4) food allergy (5) growth failure due to liver, renal, or endocrine disease (6) Reye syndrome (7) other defects in the metabolism of ammonia, amino acids, organic acids, and fatty acids Diagnosing the specific type of methylmalonic acidemia requires measuring enzyme activity, usually via the indirect assessment of radiolabeled propionate incorporation into protein in cultured skin fibroblasts or identifying an abnormal disease-causing gene mutation

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Another safety precaution is to charge the LiPo in a fire-resistant container