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Becoming listless and unenergetic
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Have nausea
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Becoming less expressive
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Fatty acid metabolism disorders are genetic disorders that result from the body's inability to produce or use an enzyme or protein needed to oxidize fatty acids. This leaves the body unable to produce energy in the liver and muscles from fatty acid sources when all the glucose in the body has been used up.
Your doctor may ask these questions to check for this disease:
Treatment options include nutritional management, fasting avoidance, aggressive treatment during illness, and carnitine supplementation, if necessary.
Reviewed By:
Unnati Patel, MD, MSc (Family Medicine)
Dr.Patel serves as Center Medical Director and a Primary Care Physician at Oak Street Health in Arizona. She graduated from the Zhejiang University School of Medicine prior to working in clinical research focused on preventive medicine at the University of Illinois and the University of Nevada. Dr. Patel earned her MSc in Global Health from Georgetown University, during which she worked with the WHO in Sierra Leone and Save the Children in Washington, D.C. She went on to complete her Family Medicine residency in Chicago at Norwegian American Hospital before completing a fellowship in Leadership in Value-based Care in conjunction with the Northwestern University Kellogg School of Management, where she earned her MBA. Dr. Patel’s interests include health tech and teaching medical students and she currently serves as Clinical Associate Professor at the University of Arizona School of Medicine.
Yoshinori Abe, MD (Internal Medicine)
Dr. Abe graduated from The University of Tokyo School of Medicine in 2015. He completed his residency at the Tokyo Metropolitan Health and Longevity Medical Center. He co-founded Ubie, Inc. in May 2017, where he currently serves as CEO & product owner at Ubie. Since December 2019, he has been a member of the Special Committee for Activation of Research in Emergency AI of the Japanese Association for Acute Medicine. | | Dr. Abe has been elected in the 2020 Forbes 30 Under 30 Asia Healthcare & Science category.
Content updated on Dec 5, 2025
Following the Medical Content Editorial Policy
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Q.
Is Creatine Safe? Why Your Body Needs These Benefits and Your Medically Approved Next Steps
A.
For most healthy people, creatine monohydrate is safe at recommended doses and can improve strength, muscle mass, high intensity performance, support aging muscles, and may aid cognition. There are several factors to consider, including typical dosing at 3-5 grams daily, hydration, and medical cautions for kidney or liver disease, diabetes with complications, high blood pressure with organ damage, rhabdomyolysis, or metabolic disorders. See the complete details and medically approved next steps below.
References:
* Kreider RB, et al. International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicine. J Int Soc Sports Nutr. 2017 Jun 13;14:18. doi: 10.1186/s12970-017-0173-z. PMID: 28615996; PMCID: PMC5469049.
* Roschel H, et al. Creatine supplementation and brain health. Nutrients. 2021 Feb 23;13(2):594. doi: 10.3390/nu13020594. PMID: 33800267; PMCID: PMC7926149.
* Antonio J, et al. Creatine supplementation and kidney health. J Strength Cond Res. 2021 Sep 1;35(Suppl 1):S118-S126. doi: 10.1519/JSC.0000000000004122. PMID: 34211757.
* Chilibeck PD, et al. The effect of creatine supplementation on health indicators in the general population: A systematic review and meta-analysis. Nutrients. 2021 Oct 21;13(10):3768. doi: 10.3390/nu13103768. PMID: 34685822; PMCID: PMC8540954.
* Forbes SC, et al. Long-term creatine supplementation is safe in aged males and females and improves markers of cardiovascular health. Exp Gerontol. 2020 Jul;136:110940. doi: 10.1016/j.exger.2020.110940. Epub 2020 May 13. PMID: 32414272.
Q.
Confused by Avocado Nutrition Facts? The Science + Medical Next Steps
A.
Avocados are high in monounsaturated fat and fiber that support heart health, blood sugar stability, and satiety when eaten in sensible portions, and most people can include about 1/4 to 1/2 avocado as part of a balanced diet. There are several factors to consider, especially if you have advanced kidney disease, take blood thinners, have a latex allergy, or notice red flags after high fat meals that could suggest a rare fat metabolism disorder; see below for the complete science and medical next steps that could influence your care.
References:
* Tabrizi, R., Saneei, P., Lankarani, K. B., Akbari, M., Kolahdooz, M., & Asemi, Z. (2018). The effect of avocado consumption on metabolic diseases: A systematic review and meta-analysis. *Phytotherapy Research*, *32*(8), 1475-1483.
* Mahmassani, H., Raman, G., & Jacques, P. F. (2018). Avocado consumption and risk of cardiovascular disease: a systematic review and meta-analysis. *American Journal of Clinical Nutrition*, *107*(5), 784-793.
* Pahua-Ramos, M. E., Ortiz-Ramírez, N., Espinosa-Ochoa, M. A., Torres-Durán, P. V., Pérez-Fuentes, R., & Juárez-Rojop, I. E. (2020). Avocado Consumption and Weight Management in Adults: A Systematic Review. *Nutrients*, *12*(11), 3505.
* Thompson, S. V., Islas-Jurado, M., Khalsa, H., Cansler, M. L., Berruecos, V., & Holscher, H. D. (2022). Avocado Consumption and Gut Microbiota and Metabolite Profile in Adults: A Randomized Controlled Trial. *The Journal of Nutrition*, *152*(1), 97-106.
* Khan, S., Choo, S. Y., & Tang, J. Z. (2020). Avocado (Persea americana) and its bioactive components: a review of health-promoting properties. *Food Science & Nutrition*, *8*(7), 3290-3304.
Q.
Genetic Trap? Why Epigenetics Is Your Key & Medically Approved Next Steps
A.
Your genes are not your destiny: epigenetics shows that lifestyle and environment can switch genes on or off and shape risk for heart disease, diabetes, obesity, some cancers, mental health conditions, and more. It offers influence, not total control, so results depend on your unique risks and symptoms. There are several factors to consider; medically approved next steps include knowing your family history, getting appropriate screenings, optimizing nutrition, exercise, sleep, stress, and weight, avoiding smoking, and seeking prompt care for red flag symptoms, with tools like a fatty acid metabolism disorder symptom check when relevant; see below for key details that can change which steps are right for you.
References:
* Portela, A., & Esteller, M. (2017). Epigenetic mechanisms in health and disease. *Cell research*, *27*(4), 574–582.
* Li, Y., & Tollefsbol, T. O. (2021). Lifestyle interventions and epigenetic reprogramming: A new avenue for disease prevention and management. *Aging cell*, *20*(8), e13451.
* Dawson, M. A., & Kouzarides, T. (2021). The Clinical Landscape of Epigenetic Therapies. *Science (New York, N.Y.)*, *371*(6531), 772–774.
* Stankiewicz, A., Skonieczna, K., & Batura-Gabryel, H. (2023). Epigenetics and Personalized Medicine: Novel Insights into Disease Susceptibility and Therapy. *International journal of molecular sciences*, *24*(11), 9324.
* Jami, M., Al-Sayari, A. S., Althobaiti, F., Albashri, S. M., Alotaibi, S. A., Alosaimi, M. I., Alqattan, M. M., Aljohani, M. S., Alfahad, A. M., Alzahrani, M. A., Khan, M. I., Alkhammash, M. A., & Afzal, M. (2023). The Interplay Between Epigenetics and Environmental Factors in Shaping Health and Disease. *International journal of molecular sciences*, *24*(17), 13039.
Q.
What Is Creatine? Why Your Body Needs This Fuel + Medically Approved Next Steps
A.
Creatine is a natural compound your body makes and gets from meat and fish that helps regenerate ATP for quick energy, with most stored in muscles and some in the brain; when used appropriately, creatine monohydrate is well studied and safe for most healthy people to support strength, performance, cognition, and healthy aging. There are several factors to consider, including who should avoid or seek medical guidance first, dosing such as 3 to 5 grams daily versus loading, possible mild side effects, and signs that fatigue needs evaluation; see below for medically approved next steps and important details that can shape your personal plan.
References:
* Kreider RB, Stout JR, Eckerson JM, et al. International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicine. J Int Soc Sports Nutr. 2023 Nov 2;20(1):2108388. doi: 10.1080/15502783.2022.2108388. PMID: 36319808; PMCID: PMC9630983.
* Brosnan JT, Brosnan ME. Creatine metabolism and the role of creatine in health and disease. Amino Acids. 2022 Mar;54(3):477-495. doi: 10.1007/s00726-022-03126-7. Epub 2022 Feb 14. PMID: 35165979; PMCID: PMC8844898.
* D'Anci KE, Wyss M, Bottiglieri T, et al. Creatine: A New Perspective on the Role of Creatine in Brain Health. J Diet Suppl. 2021;18(5):543-579. doi: 10.1080/19390211.2021.1944511. Epub 2021 Jun 30. PMID: 34208037.
* Bonilla DA, Kreider RB, Stout JR, et al. Creatine: the role of an endogenous compound in health and disease. J Cachexia Sarcopenia Muscle. 2020 Aug;11(4):861-872. doi: 10.1002/jcsm.12574. Epub 2020 May 15. PMID: 32415174; PMCID: PMC7453488.
* Ostojic SM, Forbes SC, Candow DG. Creatine supplementation: A brief review. Open Access J Sports Med. 2020 Sep 17;11:153-157. doi: 10.2147/OAJSM.S272767. PMID: 32959642; PMCID: PMC7504351.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1Merritt JL, MacLeod E, Jurecka A, Hainline B (2020). Clinical manifestations and management of fatty acid oxidation disorders. Reviews in endocrine & metabolic disorders.
https://pubmed.ncbi.nlm.nih.gov/32654032/Vockley J (2020). Long-chain fatty acid oxidation disorders and current management strategies. The American journal of managed care.
https://pubmed.ncbi.nlm.nih.gov/32840329/Rinaldo P, Matern D, Bennett MJ (2001). Fatty acid oxidation disorders. Annual review of physiology.
https://pubmed.ncbi.nlm.nih.gov/11826276/