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Ethics declarations Ethical approval and consent to participate This investigation was performed with strict adherence to the ethical guidelines laid out by our Ethical Committee and Institutional Review Board (Approval numberGU-IEC(NIV)/02/Proj/015)

Carnitine deficiency is defined biochemically as abnormally low plasma concentrations of free carnitine, less than 20 mol/L at one week post term and may be associated with low tissue and/or urine concentrations