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Author Contributions M.V

Interestingly, in this study, although the carnitine level was high in the blood of patients, a decrease in CPT-I activity was found in these congenital hypothyroid patients with energy crises, having normal TSH and FT 4 levels after hormone replacement therapy

Data availability Whole exome and genome sequencing data for CASCADE patients have been deposited in the European Genome-Phenome Archive (EGA) under the study ID EGAS00001004950

The final electron density (Supplementary Fig

7 active ingredients
