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Mister M, et al

doi: 10.1002/cbf.1807

This happens often to vegetarians and vegans or people who suffer from genetic disorders, but such issues are rarely attributed to carnitine deficiency

[Infantile encephalopathy associated with the MELAS A3243G mutation

Symptoms can include difficulty breathing, hives, and swelling of the face, lips, tongue, or throat [12]

They did not measure if this correlates with increased BCAA metabolism, but it is consistent with the literature as endurance exercise increases BCAA oxidation (Wagenmakers et al., 1989) and leucine oxidation (Mazzulla et al., 2017) while resistance exercise does not (Tarnopolsky et al., 1991)