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These neuropathic-like symptoms occur in fibromyalgia patients regardless of their skin biopsy findings

Musculoskeletal Reactions: Mild myasthenia has been described only in uremic patients receiving D,L-carnitine

If the odor is persistent and interferes with daily life testing for FMO3 variants and measuring urinary TMA to TMAO can be informative

[PMC free article] [PubMed] [Google Scholar] 68.Datta G, Miller NM, Afghah Z, Geiger JD, & Chen X (2019)