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It plays a crucial role in transporting fatty acids into mitochondria to produce adenosine triphosphate (ATD), which is vital for energy production in skeletal muscle and heart

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Harding originally classified dHMN into 7 categories, based on inheritance pattern, age of onset, severity, and distinguishing clinical features (Fig

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Trimethyl-lysine residues are the primary precursors for carnitine biosynthesis, which are hydroxylated on the third carbon by the enzyme trimethyl-lysine deoxygenase (TMLD) in mitochondria of liver, kidney, heart, muscle and brain [5]

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