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MT-II is generally more widely available and competitively priced than PT-141, which may carry a slight premium due to additional purification steps required to ensure the absence of residual cyclic form

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Further clinical research is needed to clarify their role, optimise treatment strategies, and assess their impact on disease progression and patient outcomes

Diabetes 64: 16211631, 2015

Clinical Features of Primary Carnitine Deficiency The typical metabolic presentation in patients with primary carnitine deficiency occurs most frequently before 2 years of age