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Specifically, there was a significant decrease in cutC gene abundance after two weeks treatment compared to the respective baseline in MEATMARK (mean difference [95% CI]: 0.87 [0.07, 1.81], p -value = 0.034

However, the authors suggested that carnitine deficiency cannot be the only reason for fatal VHT, because a 3.5-year-old girl developed hepatic failure under VPA therapy despite normal serum carnitine values, and died despite oral L-carnitine supplementation