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Acylcarnitine profile Metabolites that are abnormal in VLCAD deficiency patients are usually C12, C14, C14:1, C14:2 and C16 [43], with C14:1 accumulation as most important marker, which is derived from partial breakdown of oleic acid (C18:1w9)

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Editorial Note: This article was reviewed by the research team at Omni Peptides and is based on publicly available clinical trial data and peer-reviewed research available as of June 2026