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Carnitine is produced by the liver and kidneys and stored in muscle, brain, and heart tissue all of which use fatty acids as energy [5]
In accordance to the ACMG criteria, the variant was classified as variant of uncertain significance (VUS) [13]
Since this patient is over 18 years of age, vaccine administration coded 90471 should be inserted in Line 3
However, the functional consequences of these changes are highly context-dependent and may vary according to tissue type, exposure duration, and regulatory mechanisms
In addition to the well-established extracellular GSH degradation mechanism, studies have shown an additional intracellular hydrolysis pathway for GSH degradation (47,48)
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