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If AST is elevated over the normal levels and far above ALT and GGT, then it typically indicates the major area of damage is outside of the liver, most commonly in the heart or kidney

Interestingly, the low free carnitine group illustrated a seizure increase of 67.68% at the second timepoint (1 to 2 years) and is significantly different ( p = 0.0372) compared to the normal carnitine group, which showed a seizure reduction of 10.68%