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Jakubowska, A., Roux, C

L-carnitine deficiency is uncommon in the general population and typically occurs only in certain circumstances, such as genetic disorders of carnitine metabolism, severe kidney disease requiring dialysis, or strict vegan diets combined with certain medical conditions

Some users tolerate escalation faster, but skipping dose tiers or doubling up to reach 12mg sooner almost always results in worse side effects and higher dropout rates

3 Royster says providers also report limits in their ability to help patients find payment alternatives