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Monitoring should be based on the medications mechanism, known risks, and your medical history

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Acta Paediatr Jpn 40:2629 van Es A, Henny FC, Kooistra MP et al (1992) Amelioration of cardiac function by L-carnitine administration in patients on haemodialysis

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This decrease in muscle mass can lead to: A reduction in physical strength and muscle function. An acceleration in the ageing process. An exacerbation of sarcopenic obesity, a condition characterised by high fat mass and low muscle mass, linked to poor cardiovascular performance and increased mortality