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The ocular complications can include hyperemia, pseudomembrane formation, Sjorgen-like sicca syndrome, purulent conjunctivitis, dry eyes, entropion, trichiasis, symblepharon, inverted or loss of eyelashes, and corneal metaplasia causing corneal erosions/ulcerations [24]

The citrate in excess of mitochondrial requirements is exported in the cytosol, converted into acetyl-CoA by ATP-citrate lyase (ACLY), and used for protein acetylation and lipogenesis

The Food and Nutrition Board of the National Academies has not issued a recommended dietary requirement for L-carnitine because it is not considered an essential nutrient for many people