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The pathophysiology of ALN involves underlying mechanisms that include direct or indirect effects of alcohol metabolites, impaired axonal transport, suppressed excitatory nerve pathway activity, or imbalance in neurotransmitters [52,53,54]

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This molecule functions as a long-chain fatty acid transporter , directing these fatty acids to the mitochondria for oxidation and energy production

Quality of life was assessed by parent reported questionnaires, including the Pediatric Quality of Life (PedsQL) Generic 4.0 and Neuromuscular (3.0) modules, and The Child Behavior Checklist for ages 618 or CBCL/618 (ASEBA 2020)

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