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The second problem is that reference ranges are quite broad and based on the current, generally healthy population, not an optimally healthy population

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The major carnitine derivatives, that are not the long-chain fatty acylcarnitines involved in fatty acid acid oxidation, are acetyl-carnitine (acetyl-L-carnitine, ALC), propionyl-L-carnitine (PLC), and isovaleryl-L-carnitine (iso-VLC)