GPT and Hypoglycemia: On hospital admission, she was noted to have elevated serum CK level of 3233 IU/L (normal range: 43–165), aspartate aminotransferase (AST) of 98 IU/L (normal range: 8–38), alanine aminotransferase (ALT) of 68 IU/L (normal range: 4–44), lactate dehydrogenase (LDH) of 526 IU/L (normal range: 106–211), ammonia level of 119 IU/L (normal range: 12–66), 3‐hydroxybutyric acid level of 1.7 mol/L, and hypoglycemia (blood glucose 1.8 mmol/L).