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While the OMIM database is open to the public, users seeking information about a personal medical or genetic condition are urged to consult with a qualified physician for diagnosis and for answers to personal questions. Results from extensive viral studies were all negative. However, this supports the presence of a defect in lipid remodeling in these patients, with wasting of acetylcarnitine induced by reduced channeling of medium-chain substrates to lipid synthesis from a pathway involving ACAD9. Patient 3 was a 4.

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