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Furthermore, its adverse effects are minimal, but may include abdominal pain, nausea, diarrhea and a fishy smell emanating for the patient (15)

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While untreated metabolic crises can cause brain injury and developmental delays, daily L-carnitine treatment protects brain development

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For each clinical study that described a biomarker, a level of evidence (LOE) ranging from one to five was assigned

The inability to adapt to the different cellular and environmental needs/stressors results in metabolic inflexibility, which ultimately leads to disease states like insulin resistance, lipid accumulation, and an inability to maintain homeostatic balance [24,25,26] (Figure 6)