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Missed cases, however, can present later in childhood with sudden cardiac decompensation during a fasting state or illness

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The intestinal absorption of carnitine, as well as its renal reabsorption, is primarily mediated by the plasma membrane organic cation transporter novel 2 (OCTN2 SLC22A5) that, among the carnitine-handling transporters, shows the highest affinity toward carnitine

Lancet 391(10140):26072618

These medications may provide major benefits for diabetes control, weight loss, heart health, and kidney health