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If carnitine supplements are not promptly started, patients with primary carnitine deficiency can present with an acute metabolic decompensation early in life, or later in life with skeletal and cardiac myopathy or sudden death from arrhythmia [82, 100, 102]

Ann N Y Acad Sci 2004;1033:158-67

[DOI] [PubMed] [Google Scholar] Winter SC

Hormonal therapy and targeted therapy may be considered when the condition advances to late-stage hepatitis, fibrosis, or cirrhosis

Renal impairment : L-carnitine is renally excreted, and accumulation may occur in kidney disease

COVID-19 in Pregnancy: A Current Review of Global Cases