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Moreira RO, Cobas R, Lopes Assis Coelho RC

The mechanisms of both subacute and idiosyncratic VHT remain incompletely understood, but it has been believed since the early 1980s based on limited experimental and clinical evidence [5356] that hypocarnitinaemia, subsequent imbalance between -oxidation and -oxidation, and accumulation of 4-en-VPA are involved