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Support from caregivers and educators is also essential to ensure adherence to the diet

Choline deficiency causes hepatic steatosis (fatty liver disease) and leads to loss of muscle membrane integrity

In addition, according to previous studies, L-carnitine affects spermatogenesis through stimulation of glucose uptake by Sertoli cells that supply essential energy for epithelial germ cell development

and the antibodies were no longer detectable in the CSF

9 One possible solution to try may be to ensure that fatty acid oxidation (calorie burning) is optimized by supplementing L-carnitine, as many of the dietary sources of L-carnitine may not be appropriate food choices for a low-fat diet