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activity allied metabolic diseases American Journal amino acid metabolism Anderson & Swaiman behavior problems Behavioral measures Berry Bickel Center Metabolic Clinic child with phenylketonuria children with PKU clinician completion task indicated Constantly fidgeting desk diet in PKU dietary treatment discontinued disorders of amino Disturbs other children explosive and unpredictable Frankenberg Heritable disorders high phenylalanine diet Hysia impulsive inattentive indicated that T.D. inherited metabolic disease intellectual or behavioral items and took Koch level of phenylalanine limits of intelligence little Pretty low phenylalanine diet measures in school mental retardation mg./lOO ml minor problem Mood changes quickly normal limits Nyhan parent questionnaire parents and teacher Pediatrics phenyl phenylalanine intake protein quickly and drastically restricted diet seat behavior second grade seconds to complete serum level Swaiman Eds T.D. achieved T.D. was attentive T.D.'s behavior T.D.'s teacher TEACHER QUESTIONNAIRE Temper outbursts Termination of dietary testing treatment of PKU Waisman Center Metabolic worksheet completion task