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It is naturally produced in the body, but you can also get it from exogenous sources, such as supplements and foods

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T., Bansal, S

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However, because this excretion accounts for less than 1% of total acylcarnitine elimination in urine [43], it is unlikely that excretion of VPA alone is sufficient to produce carnitine deficiency in well nourished patients [44]

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In some patients organ support and additional procedures are required

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