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or it may be secondary, in which the individual develops the condition because of other metabolic disorders The signs and symptoms of Carnitine Deficiency Syndrome may include irritability, fatigue, abnormal liver enlargement, and failure to thrive in children

Oral supplements can help maintain levels over time, while IV therapy provides a direct boost for individuals with higher oxidative stress

However, this is a gradual biological process

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Winter SE, Bumler AJ (2023) Gut dysbiosis: Ecological causes and causative effects on human disease. Proc Natl Acad Sci U S A 120(50):e2316579120