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Patients with Mitochondrial Disease:There is an increased risk of valproate-induced acute liver failure and resultant deaths in patients with hereditary neurometabolic syndromes caused by DNA mutations of the mitochondrial DNA Polymerase (POLG) gene (e.g., Alpers-Huttenlocher Syndrome)

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Therefore, the amount of fat you can conceivably burn is related to your L-carnitine levels

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