A 28-year-old man with a history of recurrent myoglobinuria and muscle pain triggered by prolonged fasting or intense exercise is found to have elevated serum creatine kinase (CK) and myoglobin in urine. Carnitine levels are normal. Genetic testing confirms a homozygous mutation in the CPT II gene. What is the most appropriate next step in management?

See the options, answer & explanation

Sign in free to reveal the answer choices, the correct answer, the detailed explanation, and AI-powered insights for this question.