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In POTS, the autonomic nervous system struggles to regulate blood vessel constriction and blood flow, leading to an abnormally rapid heart rate upon standing

This can also lead to a larger than normal liver, low blood sugar, lactic acid build up, high ammonia levels in the blood, and increased amounts of certain liver enzymes

Stuessi, C., Hofer, P., Meier, C., and Boutellier, U

[DOI] [PubMed] [Google Scholar] 55.Pathogenic mechanisms of trimethylamine N-oxide-induced atherosclerosis and cardiomyopathy

Glutaric aciduria I Glutaric aciduria type 1 is an autosomal recessive disorder of organic acid metabolism caused by a double allele genetic variant in the GCDH gene located at 19p13.2 [64]