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Patients may be advised to use dexamethasone or lidocaine-based mouthwashes, or an augmented betamethasone dipropionate gel (Table 1)

As a consequence, if the screening is done too early in life, plasma carnitine levels can falsely be above the cut-off in an infant with primary carnitine deficiency and drop below the cut-off over time (States mandating 2 screens where the second screening is usually collected between 7 and 21 days of age might better identify infants with primary carnitine deficiency, although no data in this respect have been published)

NAFLD encompasses a wide range of liver conditions from simple steatosis/nonalcoholic fatty liver (NAFL) to nonalcoholic steatohepatitis (NASH), cirrhosis, and finally, hepatocellular carcinoma (HCC) [5]