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Left ventricular cardiac function was assessed by conventional echocardiography to measure left ventricular ejection fraction (LVEF) and two-dimensional speckle tracking echocardiography (2D-STE) to determine left ventricular global longitudinal strain (2D-LV GLS)

With adequate feeding and water, consumption of 2 grams per day of L-carnitine showed a positive increase in the sensitivity of the body's androgen receptors, as well as increases in the presence of luteinizing hormone, [10] suggesting it may help the body's endocrine system work more efficiently as well

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Also, no specific time-course has been observed between disease presentation and development of cardiomyopathy, with nearly 50% of cases affecting patients with early onset and nearly 50% with late onset, and mean age at diagnosis of 6.5 years, ranging from 3 weeks to 25 years