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    The precise prevalence of GSDVI is unknown. At least eleven cases have
    been reported within the medical literature,
    although this situation is prone to be underdiagnosed because
    it may be difficult to detect in kids with mild symptoms or adults with no symptoms.
    GSDVI is extra frequent within the Old Older Mennonite
    population, with an estimated incidence of 1 in 1,000 people.
    Mutations within the PYGL gene trigger GSDVI. The PYGL gene offers directions
    for making an enzyme called liver glycogen phosphorylase.
    This enzyme is discovered solely in liver cells, where it breaks
    down glycogen into a type of sugar called glucose-1-phosphate.
    Additional steps convert glucose-1-phosphate into glucose,
    a simple sugar that is the main energy supply for many cells within the physique.

    PYGL gene mutations stop liver glycogen phosphorylase from
    breaking down glycogen effectively. Because liver cells can not break down glycogen into glucose, people
    with GSDVI can have hypoglycemia and should use fats for energy, leading to ketosis.

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