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Without enough L-Carnitine, fatty acids can't enter the mitochondria and remain outside, unable to fuel the body

Secondary outcomes included changes in ulnar compound muscle action potential amplitudes (CMAP), handheld dynamometry, pulmonary function, and Pediatric Quality of Life Inventory scores

None of these patients have the period of apparently normal development, and in fact, some continue to regress after 6 months, unrelated to the epileptic encephalopathy

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Study Findings The study showed that L-carnitine treatment did not cause a significant increase in carnitine levels in semen, as carnitine acts intracellularly, and its concentration is already high in the epididymis