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Vitamin D deficiency myopathy (also known as osteomalic myopathy due to the interplay between vitamin D and calcium) results in muscle weakness, predominantly of the proximal muscles; with muscle biopsy displaying abnormal glycogen accumulation, atrophy of sort II (quick-twitch/glycolytic) muscle fibres, and diminished calcium uptake by the sarcoplasmic reticulum (wanted for muscle contraction). Exercise-induced, electrically silent, muscle cramping and stiffness (transient muscle contractures or "pseudomyotonia") are seen not only in GSD types V, VII, IXd, X, XI, XII, and XIII, but additionally in Brody disease, Rippling muscle disease sorts 1 and 2, and CAV3-associated hyperCKemia (Elevated serum creatine phosphokinase).<br>
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