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Abstract As far as my knowledge, there are no academic guidelines for diagnosis and treatment of carnitine deficiency in the world except Japan, namely, Guideline for the Diagnosis and Treatment of Carnitine Deficiency 2016 , that was published on the website of the Japan Pediatric Society in 2016 (it was revised in 2018)

Finding each patient's optimal dose requires systematic approach beginning with conservative starting doses and methodical titration based on response