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Role of carnitine Although data in this setting are sparse, consisting of anecdotal case reports, it has been suggested that carnitine supplementation could hasten resolution of coma, prevent development of hepatic dysfunction and reverse mitochondrial metabolic abnormalities in patients with acute VPA intoxication [22,70]

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The liberated L-carnitine immediately goes to work binding to long-chain fatty acids, creating acyl-carnitine, and pulling them into the beta-oxidation cycle to produce ATP

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