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Over the decades, however, a series of developments including the raising of the eligibility age for full Social Security benefits to age 67, as well as the broad replacement of defined benefit pension plans with defined contribution savings plans as the standard workplace retirement plan option have eroded the notion of 65 as the 'normal' retirement age, even though the cutoff date for Medicare coverage remains at 65 and many retirement calculators and financial planning software platforms still use 65 as the default retirement age

In a suspected case of CPT II deficiency the following are considered: (1) dextrose infusion to prevent catabolism till special milk feeds can be arranged, (2) a high carbohydrate and low-fat diet to provide substrate for glycolysis, (3) avoidance of known triggers, e.g., fasting, illness etc., (4) urgent IEM screen/genetic testing/echocardiography/and ultrasound scan of the brain and kidneys, (5) MCT supplementation, (6) intensive care monitoring, and (7) a multidisciplinary team including metabolic specialists and palliative care doctors
Without human trials, it is challenging to identify any short-term or long-term side effects of BPC-157