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Behav Brain Res 161:133140

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The primary clinical manifestations include dyspnea, excessive fatigue, and limited exercise tolerance [238]
They also compared the selected parameters at initial presentation and at end of follow-up period and found that initial low carnitine (FC, AC, and TC) levels were statistically significantly higher at the end of the follow-up, while there were no differences in AC/FC ratio and venous blood NH3 levels
