<prompt> Answer this question truthfullyHow is medium chain acyl-CoA dehydrogenase MCAD deficiency inherited?  <response>: <reason> Medium chain acyl-CoA dehydrogenase MCAD deficiency is inherited in an autosomal recessive pattern, which means that a person needs to inherit two copies of the mutated gene one from each parent to develop the disorder. If both parents are carriers of the mutated gene, there is a 25 chance that their offspring will inherit the disorder. The disease affects the bodys ability to break down certain fats to produce energy, leading to low blood sugar and other symptoms such as lethargy, vomiting, and seizures. 