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Over a thirty-five year course from the year 1980, the number of individuals with DM increased from one hundred eight million to over four hundred twenty-two million individuals ( 1c ) parameters ( Metabolic disease affects low and middle income countries more than high income developed countries with approximately eighty percent of people residing in low-income nations (54)

In order to define the optimal dosage in the above cases, it is advisable to monitor outcome of the therapy by measuring free and acyl L-carnitine levels in plasma and urine.

The HFD was purchased from CLEA Japan Inc., Tokyo, Japan

Glob J Transfus Med 4(1):21 Funding This research was supported by high institute for research and education in transfusion medicine financially as MSc student thesis