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Repeated attacks of hypoglycemia or sudden death from arrhythmia without cardiomyopathy have been reported in patients discontinuing carnitine against medical advice [3]

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Furthermore, muscle wasting reduces a patient's quality of life by causing muscular wasting and chronic weariness (fatigue) (Gramignano et al., 2006, Sakurauchi et al., 1998)

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Ketogenic diet consumption inhibited mitochondrial one-carbon metabolism

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Since it has only been reported in a small number of people worldwide, its prevalence is unknown [86]

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Treatment recommendations in long-chain fatty acid oxidation defects: consensus from a workshop

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