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Chin J Integr Med (2015) 21:9026

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Both Nirchi and Long point to things like nausea and constipation, particularly when starting the drugs or titrating up to a higher dose (but for them, the benefits have outweighed the downsides)

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Acylcarnitine profile In primary carnitine deficiency the transport of carnitine over the plasma membrane is impaired resulting in low intracellular carnitine concentrations