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L-carnitine is available both as food supplements and as levocarnitine, an MHRA-licensed medicine used to treat primary and secondary carnitine deficiency
Zhang D, Li AM, Hu G, Huang M, Yang F, Zhang L, et al
Furthermore, the European Organization for Research and Treatment of Cancer has recommended these agents be considered in all patients prior to the initiation of chemotherapy, particularly at-risk patients (eg, elderly patients or patients with low neutrophil counts) or those who have already experienced neutropenia with fever after previous courses of therapy (Aapro 2011)
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10.1016/j.phrs.2005.12.005
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