Carnitine Quantitative Profile by Flow Injection Analysis–Tandem Mass Spectrometry (FIA-MS/MS) is an advanced laboratory test used to measure carnitine levels in a blood sample. Carnitine is a vital compound that plays a crucial role in metabolism by helping transport fatty acids into the mitochondria for energy production. This analysis is considered a valuable tool for diagnosing and monitoring metabolic disorders related to carnitine deficiency, such as primary and secondary carnitine deficiency, which may lead to symptoms like chronic fatigue and muscle weakness. The FIA-MS/MS technique provides highly accurate measurement of carnitine, allowing determination of free carnitine levels and related compounds. Due to its accuracy and efficiency, this test is recommended for patients with unexplained symptoms related to energy and metabolism, as well as for newborns when there is a family history of metabolic disorders.