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The objective was to develop a consensus\u2010based algorithm for the diagnosis of late\u2010onset Pompe disease. A systematic literature search was conducted, and an expert panel composed of neuromuscular specialists and individuals with expertise in Pompe disease reviewed the literature and convened for consensus development. An algorithm for the diagnosis of late\u2010onset Pompe disease was created. Patients presenting with either a limb\u2010girdle syndrome or dyspnea secondary to diaphragm weakness should undergo further testing, including evaluations of muscle strength, motor function, and pulmonary function. A blood\u2010based acid \u03b1\u2010glucosidase (GAA) enzyme activity assay is the recommended tool to screen for GAA enzyme deficiency. The diagnosis should be confirmed by a second test: either a second GAA enzyme activity assay in another tissue or <jats:italic>GAA<\/jats:italic> gene sequencing. 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