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It is proposed that this disturbance in carnitine homeostasis is reflective of a reduction in carnitine palmitoyltransferase-I (CPT-I) activity, possibly a result of the accumulation of omega-6 fatty acids previously observed in this patient population

The classic MIC formulation combines three of them: Methionine an essential amino acid, a methyl donor, and a precursor in the pathways that package hepatic lipid for export

JAMA 327 , 138150 (2022)