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Of all the ACs, the long-chain ACs seem to be the most associated with heart failure clinical outcomes

Int J Nursing Sciences

doi: 10.1371/journal.pone.0126606

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The management of the condition primarily focuses on symptomatic and supportive treatment, including dietary restriction (restricting amino acids and odd-chain unsaturated fats as precursor substances for propionic acid), carnitine supplementation, and the use of metronidazole and other antibiotics to inhibit intestinal bacteria [20]