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Obesity is associated with abnormalities in bioenergetics in several organ systems, and oxidation of fatty acids, a major fuel for the kidney, has been implicated in the development of renal injury

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Carnitine deficiency is defined biochemically as abnormally low plasma concentrations of free carnitine, less than 20 mol/L at one week post term and may be associated with low tissue and/or urine concentrations

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