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doi:10.1056/nejmoa1602773 97Sands B, Sandborn W, Gasink C, et al

Transport of acylCoA from the cytosol to the mitochondrial matrix starts with Lcarnitine accepting an acyl group from acylCoA via the enzyme carnitine acyltransferase1 (carnitine palmytoyltransferase 1) to form acylcarnitine

Seizures are the second most common symptom, with 13.3% of cases initially manifesting as epilepsy (35)

Patients who combine Sermorelin therapy with proper nutrition, regular exercise, adequate sleep, and stress management typically report the most meaningful long-term improvements