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Shiono, H

Participants who reported increased cravings had the shortest median duration (approximately 5 months)

Women with neurological symptoms, severe anaemia, or confirmed deficiency require prompt medical assessment and specialist referral where appropriate

They should also seek to identify patient subgroups that may benefit the most, such as those with low baseline carnitine levels or undertaking certain procedures like PCI/CABG, evaluating safety and interactions with guideline-directed therapies

Finally , use alongside a healthy diet and exercise regimen

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