Home therapy can be administered to those with mild MSUD. Detection of this condition is made possible by the use of the Dinitrophenylhydrazine (DNPH) reagent, which detects high levels of branched-chain keto-acids in the urine. After early detection, dietary therapy can be used which entails leucine restrictions and taking formulas that are free of high-calorie branched-chain amino acids. This should be done by an experienced practitioner. Out-patient monitoring is also vital. In case of severe vomiting, it might be appropriate to seek inpatient services from a qualified medical practitioner (Fernandes, 2006).
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