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DOI: 10.1136/gutjnl-2019-318427

According to IKDSG guidelines, KD use is strictly contraindicated in patients with a deficiency of carnitine (primary), carnitine palmitoyltransferase (CPT) 1 or 2, carnitine translocase, pyruvate carboxylase, medium-chain acyl-coenzyme A (CoA) dehydrogenase (MCAD), long-chain acyl-CoA dehydrogenase (LCAD), short-chain acyl-CoA dehydrogenase (SCAD), and disorders of fatty acid -oxidation and porphyria
The body can make l carnitine from the amino acids lysine and methionine, and it also absorbs carnitine from food
Stckler S, Braissant O, Schulze A

Muscle and brain sodium channelopathies: genetic causes, clinical phenotypes, and management approaches
