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Patients with primary carnitine deficiency lose most (1095%) of the filtered carnitine in urine, and their heterozygous parents lose 2 to 3 times the normal amount, explaining their mildly reduced plasma carnitine levels [3, 16, 82]

Aquaculture 249:439447

Effects of L-carnitine supplemented total parenteral nutrition on lipid and energy metabolism in postoperative stress

Because estrogen stimulates the endogenous synthesis of phosphatidylcholine via the phosphatidylethanolamine N-methyltransferase (PEMT) pathway, premenopausal women may be less likely to develop signs of choline deficiency in response to a low-choline diet compared to postmenopausal women (18, 19)