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| | Carnitine Deficiency: Undernutrition: Merck Manual Professional |
 | | Muscle metabolism is impaired, causing myopathy, hypoglycemia, or cardiomyopathy. |
 | | The amino acid carnitine is required for the transport of long-chain fatty acyl coenzyme A (CoA) esters into myocyte mitochondria, where they are oxidized for energy. |
 | | Carnitine deficiency may cause muscle necrosis, myoglobinuria, lipid-storage myopathy, hypoglycemia, fatty liver, and hyperammonemia with muscle ache, fatigue, confusion, and cardiomyopathy. |
| www.merck.com /mmpe/sec01/ch002/ch002c.html (199 words) |
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