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Different from PCD, secondary carnitine deficiency (SCD) is mostly caused by drugs (such as valproic acid, anticancer drugs, omeprazole, amphoteric drugs, etc.) or diseases (such as fatty acid oxidation disorder, organic acidemia, etc.) (1)

Why might someone need to supplement with L-Carnitine

International Journal of Sport Nutrition and Exercise Metabolism 2008;18:567-584

Uphoff, C

Cardiac remodeling in a rat model of diet-induced obesity