This document discusses a case study of a man named Mark who was diagnosed with Late Onset Tay-Sachs Disease (LOTS). It describes Mark's journey to diagnosis, which involved concerning symptoms but an initially missed diagnosis. After a second opinion and full medical history review, Mark received a diagnosis of LOTS. The document then outlines Mark's treatment plan and care, which focuses on managing comorbidities through speech therapy, employment assistance, and education for Mark and his family on genetics counseling and support groups.