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The lack of a difference in thyroid indices is consistent with previous findings, which suggest that L-carnitine has a peripheral action, rather than directly inhibiting the thyroid gland or influencing hypothalamicpituitary feedback

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Muscle carnitine palmitoyltransferase II deficiency: clinical and molecular genetic features and diagnostic aspects

This results in an increase of long chain acyl-CoAs, as well as the long chain acylcarnitines
