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It is the material used to fix the walls (the gut lining) and build new structures (muscle)

They are part of the so-called carnitine shuttle

Acknowledgments We thank the Liberty University Department of Biology and Chemistry, School of Health Sciences, Office of Sponsored Programs and Research, and the Virginia Academy of Science for their support of ongoing work in our lab

or it may be secondary, in which the individual develops the condition because of other metabolic disorders The signs and symptoms of Carnitine Deficiency Syndrome may include irritability, fatigue, abnormal liver enlargement, and failure to thrive in children