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Chemical structures for each hormone and enzyme names are shown

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L-carnitine deficiency, accompanied as mentioned earlier by a slight increase in lactate and significant increases in alanine and ammonia, is a symptom of mitochondrial dysfunction

Unpaired t-tests with Welchs correction for patients and healthy controls were performed using GraphPad Prism 5.0 and 10.0 software

Prolonged withdrawal: The prolonged withdrawal, also known as post-acute withdrawal syndrome (PAWS) occurs when withdrawal symptoms last for a longer duration