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It is important to monitor patients with heart or metabolic diseases, as well as those who are undergoing treatment with other medications that may interfere with levocarnitine metabolism
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Some patients experience mild gastrointestinal symptoms, particularly with oral peptides, or transient fatigue during the adjustment period
N., Wharton, S., Connery, L., Alves, B., Kiyosue, A., Zhang, S., Liu, B., Bunck M
In vitamin B 12 deficiency, the mutase reaction is impaired, causing accumulation of D-methylmalonyl-CoA, which is converted to methylmalonic acid
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