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Most side effects are dose-dependent and improve with time and gradual dosing

Limitations This study has limitations, the study relied on EHR data within a cross-sectional design, which precludes causal inference and does not allow us to track longitudinal changes such as treatment switching or sequential use of drug classes

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D- or DL-carnitine preparations should be avoided as D-carnitine can cause myasthenia and compete with L-carnitine.[18] Usual Duration: Timing: Can be taken with or without food