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Topical hair follicle stimulants such as Minoxidil at strength 5%, applied twice daily to the affected areas, or Low-Level Laser Light Therapy, typically used for 3 sessions per week at 20 minutes per treatment session

It was not until the development of an in-vitro carnitine uptake assay on cultured fibroblast, a clear-cut definitive diagnosis of CUD could be made.2 However, in-vitro functional assay has many limitations and the most obvious one is the unavailability of living fibroblast as fibroblast culture from skin biopsy is not a routine investigation that is readily available