You are not alone, and what you’re feeling is real. There’s a reason why many ornithine transcarbamylase deficiency (OTC-D) carriers experience symptoms like headache and fatigue that are often misunderstood and dismissed. You are not imagining your OTC-D symptoms and you can advocate for yourself by talking to your doctor about the OTC-D carrier signs and symptoms you are experiencing, which may include:
Follow Juli's journey with OTC-D and the importance of self-advocacy.
My name is Juli. I’m 46 years old. I live with my husband and my son and my new puppy, Jaime. And I live with OTC. Growing up, I did have a lot of different symptoms. Nausea. Terrible stomach pains a lot. My hair was very thin. My nails didn’t grow. I didn’t eat very much. I just wasn’t hungry during the day. People thought I had an eating disorder.
When I did go to the doctor, they would run a gamut of tests and everything would come back normal. They’d pull my mom aside and say, “This is all in her head. This is something she’ll outgrow.” Even in my early 20’s, when I ended up in the emergency room for similar symptoms, they ran all the tests that they could and they couldn’t find anything. So the next step was to pull in a psychiatrist to ask me if I felt safe at home. Do you feel safe in your relationship? That was very hard. Because I knew something wasn’t right and nobody was listening to me.
I was first diagnosed with OTC in 2011, I had just given birth to our third son, Eli. And he had passed away after a battle with OTC and two failed liver transplants. Our first son, Luke, is not affected at all, our second son, Noah, was also affected and he passed away at four days old.
Shortly after Eli passed away, I was tested myself. I got a call from a genetic counselor. No one in my family had even heard about this, including myself.
As a woman living with OTC, you know, you hear a couple terms. You hear carrier and you hear someone with OTC and, and to me, personally, those terms are interchangeable.
There are lots of women that are told they’re just carriers of OTC and maybe they haven’t experienced any symptoms, or maybe their symptoms are so mild that they don’t recognize them as symptoms. If they feel like something is wrong, that they’re experiencing these, you know, talk to your doctor about it. You know your body more than anyone else. Just because you haven’t had symptoms in the past doesn’t mean you can’t start developing them.
So, another thing is just really trust your body. Even if the doctors are telling you there’s nothing wrong with you, if you know something’s not right, just trust yourself. Keep advocating and fighting for yourself. Because you are the only one that truly knows you and knows what you feel like. So please, don’t stop fighting for you.
Family is very important to me and I don’t want to miss a thing. So what I can do right now is protect myself the best of my ability. Staying on my medication, keeping with my low-protein diet, just trying to live the best fullest life I can so I can be present for my family, so I can be fully present for my son, so I can be there at all of his activities. So I can see him play in the band, so I can be there with my husband, go on trips, go for walks, and just be able to live my life.
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“OTC-D is an invisible disease. Doctors would tell me, she looks fine. Look at her. She’s pretty. She’s cute. She’s smiling. She’s active. There was something wrong. I knew there was something wrong. Mothers know when there’s something wrong.”
Find specialists who understand OTC-D carriers and can provide the clarity and confidence you need to help manage your condition.
Discussions around OTC-D with family can be difficult depending on your relationship with them.
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Nervous system side effects (Neurotoxicity) Phenylacetate (PAA), a breakdown product of RAVICTI, may cause nervous system side effects. Call your doctor or get medical help right away if you have any of these symptoms while taking RAVICTI:
Your doctor may do blood tests to measure the amount of PAA in your blood during your treatment with RAVICTI.
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RAVICTI may cause serious side effects, including:
See "What is the most important information I should know about RAVICTI?"
The most common side effects of RAVICTI in adults include:
The most common side effects of RAVICTI in children 2 years to 17 years of age include:
The most common side effects of RAVICTI in children 2 months to less than 2 years of age include:
The most common side effects of RAVICTI in children less than 2 months of age include:
These are not all of the possible side effects of RAVICTI. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
For additional Important Safety Information, click here for the Medication Guide and discuss with your doctor.
RAVICTI may cause serious side effects, including:
Nervous system side effects (Neurotoxicity) Phenylacetate (PAA), a breakdown product of RAVICTI, may cause nervous system side effects.