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There is initial damage in -oxidation in PD, reducing long-chain acylcarnitine levels (29)

He or she may recommend further testing, such as an ultrasound, a full liver function panel, or additional blood markers, to identify what is driving it and to rule out underlying conditions that dietary change alone will not address

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Transitioning from detoxification to treatment Encourage patients to begin outpatient opioid use disorder treatment after detox, and ensure they have a reliable follow-up plan