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Octanoylcarnitine, like other acylcarnitines, is an important intermediate in lipid metabolism, necessary for the transport of fatty acids into mitochondria for -oxidation and ATP production, as well as for the removal of excess short-chain fatty acids

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In a large-scale study conducted in adult epilepsy patients in Japan, HA was found in 43% of the cohort, with 40.7% of them presenting with symptomatic HA requiring treatment with carnitine rescue, intravenous therapy or VPA dose reduction [6]