“…Analytical reference standards of 29 acyl-carnitines (Sigma-Aldrich, Co., St. Louis, MO, USA) were employed for quality control of compounds in samples. We defined acyl-carnitines and major acyl-carnitine fractions as free-, short-, medium-, or long-chain acyl-carnitines according to the length of carbon chains in the molecular structure (i.e., free carnitine: C0, short-chain: C2-C5, medium-chain: C6-C12, long-chain: C14-C18) 29,30 . Deuterium-labeled carnitine and acyl-carnitines (NSK-B Set, Cambridge Isotope Laboratories, Inc., Tewksbury, MA, USA) were used as internal standards, including 2 H 9 -carnitine (free carnitine, CN), 2 H 3 -acetylcarnitine (C2), 2 H 3 -propionylcarnitine (C3), 2 H 3 -butyrylcarnitine (C4), 2 H 9 -isovalerylcarnitine (C5), 2 H 3 -octanoylcarnitine (C8), 2 H 9 -myristoylcarnitine (C14), and 2 H 3 -palmitoylcarnitine (C16).…”