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However, despite the many advances in CAD treatment, the disease is invariably associated with many limitations, most significantly the comorbid conditions that complicate treatment protocols and patients quality of life

L-carnitine, or levocarnitine, is the active form found in the body that transports fat to cells to be used as fuel in metabolic processes

The rate of L-carnitine biosynthesis in vegetarians is estimated to be around 1.2 mol/kg of body weight/day [7]

Reduced serum free carnitine as well as reduced levels of 3-keto-VPA, the main metabolite of -oxidation of VPA, was first reported in 1982 by Bohles and coworkers [53] in a 3-year-old girl who developed acute liver disease with typical features of Reye's syndrome after treatment with VPA for 6 months