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There is growing interest in the role of natural or synthetic compounds, such as carnitine, for blocking, or slowing, the progress of this deterioration

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Although inborn errors of L-carnitine transport and utilization have been well described in the literature 5 , reports on defective endogenous L-carnitine biosynthesis are limited

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It also exports acyl groups from subcellular organelles and from cells to urine before they accumulate to toxic concentrations