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Petri et al reported that higher hydroxychloroquine (HCQ) blood levels predicted later retinopathy (1) . However, in a recent case-control study, the blood level was not associated with retinopathy(2). The inconsistency may arise from dose adjustment over the years and the timing of blood level testing.Fatty acid oxidation (FAO) produces most of the ATP used to sustain the cardiac contractile work, although glycolysis is a secondary source of ATP under normal physiological conditions. FAO impairment has been reported in the advanced stag