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L-carnitine deficiencies can cause a variety of symptoms, including fatigue, muscle weakness, nausea and vomiting, heart problems, and seizures

Li B, Liang J, Baniasadi HR, Phillips MA, et al

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The patient underwent multimodal therapy (oral antioxidants + topical diclofenac gel + penile injections/pentoxifylline)

Anxiety, depression, and the microbiome: A role for gut peptides
