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Understanding MCAD Deficiency

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Created December 8, 2025

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Video Transcript

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This is the disorder where your body forgets how to use its own fuel… at the WORST possible

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time. Welcome to MCAD deficiency, a condition where your body tries

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to burn fat for energy and your enzymes go, ‘Yeah… we don’t do that here.’ Normally,

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when you run out of glucose, your body switches to breaking down fatty acids into

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acetyl-CoA — the good stuff that keeps you alive. But with MCAD? That whole system

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collapses. So instead of energy, your blood fills up with fatty acyl carnitines,

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your glucose plummets, and you get hypoketotic hypoglycemia — which basically means: No sugar + no ketones

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= your brain is NOT okay. What does that look like? Vomiting,

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