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In males, almost all affected individuals experience undescended testicles, often requiring surgery

In general, L-carnitine is not required for short- and medium-chain fatty acids to enter the mitochondrial matrix as described before, but is necessary for long-chain fatty acids to do so

A patient who is losing weight but feeling weak, dizzy, or unable to perform normal activities may need a plan that protects muscle and nutrition more effectively

If well tolerated with no concerns, consider either maintaining 0.1 mg once daily or increasing to 0.125 mg once daily based on response