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10.1016/j.bbrc.2020.03.094 352 SunY.MaC.SunH.WangH.PengW.ZhouZ.et al

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(4) mechanism research: no experiments to verify specific pathways

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However, the authors suggested that carnitine deficiency cannot be the only reason for fatal VHT, because a 3.5-year-old girl developed hepatic failure under VPA therapy despite normal serum carnitine values, and died despite oral L-carnitine supplementation