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Glutaryl-CoA dehydrogenase (GCDH) deficiency is an inborn error of lysine and tryptophan metabolism that results in increased formation and excretion of glutaric acid (GA), 3-hydroxyglutaric acid (3-OH-GA), glutaconic acid and glutarylcarnitine [82]

When the oxygen demand of the cardiac muscle is not met, the cells enter ischemia, which is followed by necrosis (the pathological death of the cells)

Adding GHK-Cu to these protocols creates a multi-pathway collagen induction approach that produces outcomes neither achieves alone