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l-carnitine deficiencies and pathological states Two separate carnitine deficiency conditions have been recorded, albeit establishing a precise difference between primary and secondary carnitine deficit can be problematic in certain circumstances (Angelini et al., 1987)

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Steatosis is associated with obesity and the metabolic syndrome [5] and develops when there is an imbalance between fatty acid uptake by the liver, synthesis (de novo lipogenesis) within the liver and disposal from the liver (Very Low Density Lipoprotein (VLDL) secretion and fatty acid oxidation)