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Patients with prediabetes, early insulin resistance, or BMI 2529 may benefit from structured lifestyle intervention before pharmaceutical escalation

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Some of these include the separation of C4-butyryl-L-carnitine from C4-isobutyryl-L-carnitine for the diagnosis of butyryl-CoA dehydrogenase deficiency versus isobutyryl-CoA dehydrogenase deficiency