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Preterm infants are not efficient in their energy use, a poor exogenous nutrient supply during the first few days of life may not only lead to extrauterine growth retardation in newborns, but it may also increase their susceptibility to infectious diseases and organ function damage ( Despite the positive role of L-carnitine in regulating metabolism, prophylactic supplementation of L-carnitine in preterm infants does not seem to achieve the expected results