Increased urinary products of the omega fatty acid metabolism pathway may be due to carnitine deficiency, fasting, or increased intake of triglycerides from coconut oil, or some infant formulas. Very elevated values may indicate a genetic disorder. Fatty acid oxidation defects are associated with hypoglycemia and lethargy. Regardless of cause, intake of dietary supplements containing L-carnitine or acetyl-L-carnitine may improve clinical symptoms.
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