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Physical examination revealed bilateral sluggish pupillary light reflexes and limb hypotonia

It is recommended to keep a varied and balanced diet and healthy lifestyle

O'RiordanKJCollinsMKMoloneyGMKnoxEGAburtoMRFllingCet alShort chain fatty acids: microbial metabolites for gut-brain axis signalling

29 IV L-arginine and IV L-citrulline will help to promote the nitrogen excretion through the urea cycle as arginine becomes an essential amino acid in UCD

While other recent measures [i.e., NARQoL-21 (Chaplin et al., 2017), P-NSS (Li et al., 2023), and NSS-P (Barateau et al., 2021)] have also been developed to measure symptoms and/or quality of life in patients with pediatric narcolepsy, each measure has limitations in the development (e.g., using a top down approach, not including key stakeholders) or the content (e.g., focusing only on narcolepsy symptoms)