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Natural Environment Teaching (NET): NET involves teaching skills within the context of the individuals natural environment and daily routines such as during play, mealtimes, or outdoor activities

This leads to the build-up of lipid intermediates such as long-chain acyl-CoAs, acylcarnitines, ceramides, diacylglycerols, and triacylglycerols within cardiomyocytes (52)

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That said, most clinicians prefer the combination when possible