The treatment of CPT II deficiency is variable and often patient-specific considering the wide variation in symptoms and lifestyles.try to avoid the triggers such as vigorous exercise, fasting, and extremes in temperature. High in take of water, M C T Oil (medium-chain triglycerides) or carnitine that should be established on a case by case basis under the supervision of a metabolic physician and nutritionist. Patients should not try to treat themselves without the involvement of these professionals because they may have adverse or sub optimal effects from certain treatments.