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After stopping, her first cycle off medication was 38 days (longer than usual), her second cycle was 32 days (getting closer), and by her third cycle and beyond she was back to her normal 28-29 days

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Consistent with this, KEGG pathway analysis revealed downregulation of -oxidation in KO mice, accompanied by upregulation of glycolysis and mitochondrial oxidative phosphorylation, reflecting a systemic shift in fuel preference toward carbohydrates driven by carnitine depletion and impaired fatty acid oxidation