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For some patients, especially those with low energy tied to nutritional gaps, support can make it easier to stay consistent

[3] L-carnitine transports long-chain fatty acids across the inner mitochondrial membrane as acyl-carnitine esters, permitting -oxidation and ATP generation while simultaneously buffering toxic acyl-CoA accumulation

The benzyl alcohol preservative has been linked to severe toxicity in this population, including a potentially fatal condition known as gasping syndrome. Newborns have immature metabolic pathways and cannot efficiently metabolize benzyl alcohol, leading to its accumulation and metabolic acidosis with respiratory failure in severe cases

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