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Anna and Beth have decided to run the Great Ocean Road Marathon this year. Since they have never run a marathon before and don’t usually exercise much, they decide to start practicing early on in preparation.
They go for a run one early morning and for the first 2-3 minutes everything goes well, but Beth suddenly feels intense cramping and pain in her muscles. They both stop and after resting for about 5 minutes Beth starts to feel better and starts running again.
The same thing happens each time they go for a run and Beth decides to visit a doctor. The doctor diagnoses her with McArdle’s disease and recommends she avoid strenuous exercise.
This disease is caused by a deficiency in the glycogen phosphorylase enzyme which is involved in glycogen breakdown.
Which glycogen phosphorylase is affected?