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S.et al (2022)

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L-Carnitine deficiency is generally believed to occur below 30 mol/l, albeit data on functional relevance are controversially discussed [18]

In different physiological or pathological states, cells may choose the most appropriate metabolic pathway according to the content of LCACs to produce energy most effectively to meet the energy demand of the heart [296]

Hydration/caloric supplementation In a metabolic crisis, a patient with MMA should receive high rate intravenous fluids (either via a peripheral venous catheter or a central venous catheter) for rehydration purposes and also for provision of calories