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This deficiency restricts tissue uptake, leading to decreased accumulation in the heart and skeletal muscle and potentiates increased renal carnitine loss [21, 22] leading to systemic carnitine depletion [23]

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22 Following resolution of an acute attack, a patient can enter an "intercritical period," or a period without symptoms

Very LCFAs (VLCFAs) with 22 or more carbons such as peanuts are oxidized in peroxisomes [39]

doi: 10.1007/s00702-022-02574-6 267 DichtlSHaschkaDNairzMSeifertMVolaniCLutzOet al