l carnitine metabolism in liver L-carnitine biosynthesis. L-carnitine can be partly provided by an L-Carnitine | Linus Pauling Institute
Description
Key findings on physical examination include weight loss, presence of a goitre (unilateral or bilateral palpable thyroid gland) and cardiac auscultation abnormalities such as tachycardia, new heart murmur and gallop rhythm ( Figure 1 )

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