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10ln), further validating HR as the mechanism

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[6] Early cases were reported with liver dysfunction, muscular findings (weakness and underdevelopment), hypoketotic hypoglycemia, cardiomegaly, cardiomyopathy and marked carnitine deficiency in plasma and tissues, combined with increased excretion in urine

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The vast majority of these substances are of natural origin [3], not subject to prescription, and can usually be easily obtained in the form of food supplements or herbal extracts

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