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Results A total of 267 dysregulated metabolites were identified in patients with MMA, including 185 upregulated and 82 downregulated metabolites

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After one week of levocarnitine injection therapy (3 doses), all patients had trough concentrations between 54 mol/L and 180 mol/L (normal 40 mol/L to 50 mol/L) and concentrations remained relatively stable or increased over the course of the study