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Pleiotropic effects of the carnitine pool Carnitine can be combined with fatty acid chains of different lengths to derive a variety of acylcarnitines, which are amphiphilic because they contain hydrophilic quaternary ammonium groups and hydrophobic carbon chains [5], and acylcarnitines of different chain lengths have diverse chemical structure and metabolic pathways, making them widely involved in pathophysiology

1, 8,9 Because of its relatively high recurrence rate (as high as 45% 8,9 ), cases of MNTI should be monitored closely during the post-resection period and beyond