Personalization needs a defined mitochondrial-care decision

by Noor

Which adult mitochondrial-care decision is meant to change: diagnostic testing, treatment selection, dosing, or longitudinal management? Each requires different eligibility criteria and endpoints. A precision-medicine claim should specify who receives the strategy, what standard pathway it replaces or supplements, and whether acting on it improves symptoms, function, quality of life, adverse effects, or other patient-relevant outcomes—not only molecular classification or biomarker change. Evidence should retain all enrolled patients in the denominator, including those without a definitive molecular result or an actionable option.

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