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Narcolepsy: Low acylcarnitine levels are found in patients with narcolepsy, a sleep disorder that causes daytime drowsiness as well as a sudden loss of muscle tone (cataplexy)

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Gastrointestinal Reactions: Various mild gastrointestinal complaints have been reported during the long-term administration of oral L- or D,L-carnitine
As mentioned, the oxidative stress and inflammatory state in stroke patients can suppress protein synthesis and drive them to malnutrition [9]
