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Clinical Trial
. 1986 Feb 8;1(8476):289-91.
doi: 10.1016/s0140-6736(86)90826-3.

Carnitine reduces fasting ketogenesis in patients with disorders of propionate metabolism

Clinical Trial

Carnitine reduces fasting ketogenesis in patients with disorders of propionate metabolism

J A Wolff et al. Lancet. .

Abstract

Patients with disorders of propionate metabolism have low plasma levels of free carnitine and excrete higher than normal quantities of esterified carnitine. The response to a 19 h fast was assessed as a physiological index of carnitine deficiency. In patients with propionic acidaemia and methylmalonic acidaemia a substantial ketogenesis developed in response to fasting. Supplementation with L-carnitine significantly reduced this ketogenic response.

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