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pout plump , west nile, plump moms , methadone, women, good, omega3s, editorial, either endotoxin, darshan, sexy fat girls , weight, what are trans fatty acids , plump buttocks , fatty acid suppliers, researchers, transplant, | Such defects in fatty acid oxidation are initially suggested by dha elevations in urinary organic acid levels and in plasma dha carnitine and acylcarnitine levels, detected after an overnight fast.32 Recurrent dha acute fatty liver of pregnancy has been reported in mothers expressing heterozygous long-chain 3-hydroxyacyl-CoA dehydrogenase deficiency.31,32,34 Ursodeoxycholic acid, at dosages of 15 mg per kg per day, has been the most successful therapy for cholestasis of pregnancy. The treatment of acute fatty liver of pregnancy is expeditious delivery and intensive care. Patients usually improve promptly following delivery and, in the absence of long-chain 3-hydroxyacyl-CoA dehydrogenase deficiency, the prognosis in pregnancies following acute fatty liver of pregnancy is good. Hepatic Rupture and Infarction Hepatic rupture and infarction, extremely rare complications of preeclamptic liver disease, usually occur in the third trimester.4 |
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Symptoms associated with acute fatty liver of methadone pregnancy include anorexia, methadone nausea, emesis, abdominal pain, jaundice, headache and central nervous system disturbances.3,30 Hepatic histopathology reveals pericentral microvesicular fat with minimal inflammation or necrosis. Liver biopsy is not indicated for diagnosis.31 The laboratory abnormalities in acute fatty liver of methadone pregnancy include moderate elevations of transaminase levels (AST and ALT less than 1,000 IU per L), prolongation of prothrombin time and partial thromboplastin time, decreased fibrinogen, renal failure, profound hypoglycemia and bilirubin levels of 1 to 10 mg per dL (17.1 to 171.0 µmol per L). Some children of mothers with acute fatty liver of pregnancy have been noted to express homozygous deficiency of long-chain 3-hydroxyacyl-CoA dehydrogenase, resulting in severe metabolic and neurologic consequences to the infants.32,33 Their mothers were found to exhibit a heterozygous deficiency of long-chain 3-hydroxyacyl-CoA dehydrogenase, contributing to acute fatty liver of pregnancy. |
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