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Patients following such a diet should be advised to take oral Vitamin B12 regularly

Chandran, P

This phenomenon may be due to saturation of L-carnitine transport into skeletal muscle at physiological L-carnitine plasma concentrations (4060 mol/l) and/or by the significantly higher carnitine concentration in skeletal muscle relative to plasma, rendering passive transport impossible [24]

This is already a rare condition in the US, estimated around 4 to 10 cases per 100,000 people per year , and the risk increases with factors like age and conditions like type 2 diabetes

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