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Adrenoleukodystrophy Join now to read essay Adrenoleukodystrophy Adrenoleukodystrophy Adrenoleukodystrophy is a rare, inherited metabolic disorder. People with ALD have high levels of saturated, very long chain fatty acids that build up in the brain. This is due to the individual’s inability to produce the enzyme that breaks down these fatty acids. The fatty acids dissolve.