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After L-carnitine and acyl-CoA become acyl-carnitine by activation of carnitine palmitoyl transferase (CPT)-I, the transported acyl-carnitine is changed into acyl-CoA by CPT-II in the mitochondria matrix

Because lipoic acid can undergo reversible oxidation and reduction, it functions as both an electron carrier and an acyl/methylamide carrier

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No issues or problematic reactions of any kind

For validation reasons we decide to include NT1 although we are well aware that diagnosing NT1 is usually not a diagnostic challenge for clinicians

Okay, but which test should you get