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Taking B-complex vitamins can help symptoms, mainly in those with deficiencies

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Journal of Pediatrics 95: 142, 1979 Gilly R, Carrier H, Lamit J

[1] [3] Secondary carnitine deficiencies may happen as the result of certain disorders, such as chronic kidney failure, or under conditions that reduce carnitine absorption or increase its excretion, such as the use of antibiotics, malnutrition, and poor absorption following digestion