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Living with Metabolic myopathy due to lactate transporter defect

A rare inherited muscle condition with cramps and stiffness after exercise, especially in the heat.

Understanding Metabolic myopathy due to lactate transporter defect

Metabolic myopathy due to lactate transporter defect is a rare inherited muscle condition that causes cramps and stiffness after exercise.

Problems are most noticeable in the heat. People may have muscle breakdown after exercise (rhabdomyolysis), dark urine from muscle protein (myoglobinuria), and high levels of creatine kinase, a muscle enzyme, in the blood.

Signs & symptoms

GARD doesn't list a separate symptom list, but its summary describes these:

  • Muscle cramps after exercise
  • Muscle stiffness after exercise
  • Muscle breakdown after exertion (rhabdomyolysis)
  • Dark urine from muscle protein (myoglobinuria)
  • High muscle enzyme (creatine kinase) in the blood

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in SLC16A1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Muscular Dystrophy Association may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: Muscular Dystrophy Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Muscular Dystrophy Association
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Should we have SLC16A1 genetic testing for our family?
What types and amounts of exercise are safe for me?
What should I do if I notice dark urine or severe cramps?

Quick facts

InheritanceAutosomal Dominant
GenesSLC16A1

Changes in the SLC16A1 gene cause this condition. It is inherited in an autosomal dominant way, so a change in one copy of the gene can be enough.

GeneticNeurological

Also known as: erythrocyte lactate transporter defect; lactate transporter defect, myopathy due to

Patient organizations

Source: NIH GARD · Metabolic myopathy due to lactate transporter defectGARD ID 17067 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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