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However, their prolonged use can lead to various adverse side effects

Rais R, Lemberg KM,Tenora L, Arwood ML, Pal A,Alt J,Wu Y, Lam J, Aguilar JMH,Zhao L

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Perhaps the observed downregulation of these carnitines after treatment administration is indicative of altered metabolic pathways in energy metabolism, which has been observed in conditions with increased catabolism (e.g., senile dementia, metabolic nerve diseases, tuberculosis, myopathies and cardiomyopathies) 47