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Getting to the Bottom of My Health: Biotin and (V)LCAD

Mastering Nutrition

CHAPTER

The Carnitine Problem

The presence of abnormal acyl carnitines raised the question of whether the need to detoxify metabolic intermediates could be depleting me of carnitine and thus masking some of the biotin related organic acids. I suspect instead that this is ascertainment bias created by the dominance of VLCAD in skin fiberglass and the widespread use of skin fiberglass to assess enzymatic activity in human patients. Thus I believe my second problem is either an LCAD or VLCAD deficiency but perhaps not a greater problem as my biotin related pyruvate carboxylist deficiency.

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