Human milk has carnitine, and it is more available than that in formula. 
Some babies with metabolic disorders might need more than is in breast 
milk, and generally single amino acid powders are mixed with expressed 
milk and given to the baby until his blood levels normalize.

If you have the exact name of the metabolic disorder that is suspected, 
you can find information on it. scholar.google.com is a great gateway to 
the scholarly literature, as it searches everything, whereas medline an 
other specialty search engines have a more restricted dataset. I usually 
search both scholar and medline for more complete information. Text 
books are helpful too, perhaps your local medical library or hospital 
library will let you go search out the physiology, biochemistry and 
metabolic disorders texts.
Catherine Watson Genna, IBCLC  NYC

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