In a suspected case of CPT II deficiency the following are considered: (1) dextrose infusion to prevent catabolism till special milk feeds can be arranged, (2) a high carbohydrate and low-fat diet to provide substrate for glycolysis, (3) avoidance of known triggers, e.g., fasting, illness etc., (4) urgent IEM screen/genetic testing/echocardiography/and ultrasound scan of the brain and kidneys, (5) MCT supplementation, (6) intensive care monitoring, and (7) a multidisciplinary team including metabolic specialists and palliative care doctors
While L-Carnitine is a debatable ingredient for the purpose of fat loss, it needs more research to be considered a proven fat burner
While its potential benefits are promising, attributing miraculous cures or universal effectiveness is simply not supported by current science
Huber, W., von Heydebreck, A., Sltmann, H., Poustka, A