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Symptoms in these cases may include growth retardation, intellectual disability, or acute metabolic disorders caused by metabolic stress, mainly manifested as infections, but also with systemic complications, such as epilepsy, ketoacidosis, recurrent vomiting, leukopenia, or cardiac muscle disease [11]
Sources: Alzheimer's Disease Study Multicenter, randomized, double-blind, placebo-controlled clinical trial for the efficacy of acetyl-L-carnitine in Alzheimer's disease
L-carnitine is primarily stored in skeletal and cardiac muscles because of their high mitochondrial density and high energy demand [4]
Epigenetics of autoimmune diabetes
Anti-diabetic medications also have the potential to modify the gut microbiome
