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In two separate cohort studies of LCHAD-deficient patients, the level of long-chain 3-hydroxyacylcarnitines accumulation does not increase with age, but in general, concentrations are lower after the diagnosis is known and patients are put on a long-chain fatty acid restricted diet [62, 63]

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This will be assessed at consultation

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At the top, choline is phosphorylated by choline kinase using ATP and releasing ADP

Sun exposure can raise levels, too, but less reliably than supplements