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Seventh, these results should not be applied to patients with primary carnitine deficiency (typically arising from genetic alterations in renal handling or muscle transport of L-carnitine) or secondary carnitine deficiency (typically arising from impaired renal tubular resorption from drug toxicity or hemodialysis)

Long-term protein restriction should be avoided because it can induce protein catabolism, hepatic dysfunction, and sarcopenia [295]

It's crucial to discuss any potential interactions with your healthcare provider before starting carnitine supplementation

Fosphenytoin is dosed in terms of the equivalent phenytoin dose (phenytoin equivalents or PE)