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The first one is metabolic decompensation in infancy (3 months to 2 years) with episodes of hypoketotic hypoglycaemia, hepatomegaly, lethargy, feeding difficulties, elevated hepatic aminotransferase levels and hypoammonemia (induced by fasting or illness, among other things)

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Patients with type 2 diabetes (particularly those who are insulin dependent or have disease-related complications) seem to be at increased risk for carnitine deficiency [5]

Metabonomics study of the therapeutic mechanism of Gynostemma pentaphyllum and atorvastatin for hyperlipidemia in rats