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Weakness follows an ascending pattern, progressing for several days to weeks, reaching a plateau, and then recovers over a period of several months

Curr Probl Cardiol

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Signs and symptoms of primary carnitine deficiency typically appear during infancy or early childhood and can include severe brain dysfunction (encephalopathy), a weakened and enlarged heart (cardiomyopathy), vomiting, muscle weakness, and low blood glucose (hypoglycemia)

Xu, Y., Jiang, W., Chen, G., Zhu, W., Ding, W., Ge, Z., Tan, Y., , T., & Cui, G

Antioxidants as a therapeutic, however, are still being researched for their exact advantages, adverse effects, and dosage