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Symptoms and Clinical Presentations Patients with carnitine biosynthesis disorders may exhibit symptoms such as muscle weakness, hypoglycemia, cardiomyopathy, and liver dysfunction

(2022) 23(5):e13428

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If the medication is causing sexual dysfunction without delivering its primary benefit, a dose adjustment, medication switch, or treatment reassessment may be warranted

Carnitine is required for the transport of long-chain acylcarnitines into the mitochondrial matrix, otherwise they accumulate in the mitochondrial intermembrane space and induce detrimental effects on both mitochondrial respiration and pyruvate metabolism