This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: miscellaneous, Subject name: Biochemistry
Infant with carnitine deficiency form hypoglycemia due to what reason? 
Select and explain. 
A. Decreased glycosis, B. Decreased gluconeogenesis, C. Increased utilization of glucose, D. Reduced fatty acid oxidation and ketogenesis
D: Reduced fatty acid oxidation and ketogenesis
Answer: D: Reduced fatty acid oxidation and ketogenesis 
Explanation: Carnitine deficiency can occur paicularly in the newborn-- and especially in preterm infants--owing to inadequate biosynthesis or renal leakage. Losses can also occur in hemodialysis.This suggests a vitamin-like dietary requirement for carnitine in some individualsSymptoms of deficiency include hypoglycemia, which is a consequence of impaired fatty acid oxidation and lipid accumulation with muscular weakness.Treatment is by oral supplementation with carnitineReference: Harper biochemistry, 30th edition, page no 231