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This process occurs through the carnitine shuttle system, which includes key enzymes such as carnitine palmitoyltransferase I (CPT I) and carnitine palmitoyltransferase II (CPT II)

Friedler, A., Veprintsev, D

however, while molecular testing is available, it can be difficult to access in some Canadian jurisdictions and the cost is high

Having said that, I would say a good deal of primary care clinicians are not aware enough about these medications

More serious symptoms can include swelling of the face, lips, or tongue, difficulty breathing, dizziness, and in rare cases, anaphylaxis - a severe, life-threatening reaction

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