Table 1 Summary of diagnostic measures and therapeutic interventions

On referral

AST, ALT, CPK, Cu, PT, INR, ammonia

–

Dietary therapy including corn starch with lactose restriction

During the first-year follow-up

Lipid profile, AST, ALT, TSH, T4, vitamin D, Ca, uric acid, Cr, lactate, ferritin

Liver ultrasound

Dietary therapy including corn starch with lactose restriction, vitamin B complex, vitamin D

During the second-year follow-up

Lipid profile, AST, ALT, ALP, vitamin D, GH, IGF-1

Liver ultrasound

Dietary therapy including corn starch with lactose restriction, vitamin B complex

During the third-year follow-up

Lipid profile, AST, ALT, lactate, ferritin, BUN, Cr, CPK

Liver ultrasound, nutritional consultation, gastroenterologist consultation

Dietary therapy including corn starch with lactose restriction, vitamin B complex, vitamin D

One month later

–

Genetic analysis

Dietary therapy including corn starch with lactose restriction, vitamin B complex, vitamin D, calcium supplement