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Inhibiting carnitine metabolism would need to be evaluated with caution, as carnitine deficiency can cause severe phenotypes including muscle wasting, heart failure, liver damage, and cognitive delays 42
Dose adjustment may be needed in patients with kidney disease, please consult your doctor. Monitor your blood glucose levels regularly during levocarnitine treatment

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Developmental effects on hypothalamic, hypophyseal, testicular and steroidogenic patterns of sertraline-exposed male rats by accumulated doses from juvenile to puberty
