SLC25A20 and myopathy: These changes resemble serum anomalies in patients with FFA dehydrogenase or carnitine-acylcarnitine translocase deficiencies, who present with myopathies.31–33 Coincidently, several fatty acids (e.g., palmitic acid, 3(s)-OH-lauric acid, docosahexaenoic acid, and eicosatetraenoic acid) and oxylipins were reduced, indicating defective FFA flux.