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The inability to properly utilize L-carnitine and fatty acids creates a vicious, self-perpetuating cycle of oxidative stress and systemic inflammation that wreaks havoc across multiple organ systems

These symptoms may affect sleep patterns, appetite, social interactions, and participation in daily activities, leading to decreased enjoyment and engagement in their surroundings[35]

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Because weight loss and alterations in body image can be distressing for patients and their caregivers, appropriate psychosocial support should be provided