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Q. Explain nutritional management of metabolic diseases?
The nutritional management of metabolic diseases such as gout and a few inborn errors of metabolism such as phenylketonuria, tyrosinemia, MSUD, homocystinuria and galactosernia. Gout, we learnt, is a chronic disease due to an inherited abnormality of purine metabolism. Dietary treatment for gout often include a diet of lower purine intake. Drugs are so effective in lowering the serum urate concentration that rigid restriction of dietary purines is rarely necessary. Finally, in our last section, we dealt with the major diseases of inborn errors of metabolism and their nutritional management.
Posterior Leaflet: In the posterior leaflet a quadrangular excision of the sector involved in the prolapse is done. This may be up to 15-20 per cent of the leaflet. The remaining
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