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These symptoms occur if the disorder is confined to the muscles only However, if the disorder affects the bodys tissues, typically in severe cases, additional signs and symptoms may be noted such as: Nausea and vomiting Irritability Fatigue Abdominal pain Low blood sugar (hypoglycemia) Failure to thrive in children Low weight gain Abnormal liver enlargement Abnormal brain function How Is Carnitine Deficiency Syndrome Diagnosed