There are two forms of scleroderma: localized scleroderma (primarily affects the skin, most common form found in children) and systemic sclerosis (a chronic, degenerative disease rarely seen in children). Linear scleroderma is a progressive loss of subcutaneous fat with pigment changes in the skin.
We assume that the person described here starts the work period eagerly, using stored glycogen at the beginning of the work session. Muscle glycogen remains is the major source of energy during the first half-hour. After this period we see that fatty acids and blood glucose takes over as important energy sources.
Carbohydrate. Carbohydrates, on the other hand, can only be stored in limited quantities, so the body is eager to use them for energy. We think of carbs as the [nutrient] that's used first, says Eric Westman, MD, MHS, director of the Lifestyle Medicine Clinic at Duke University Medical Center.hile these fats are a welcome source of energy for most of the body, a few types of cells, such as brain cells, have special needs. These cells could easily run on glucose from the diet, but they can't run on fatty acids directly.