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However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing

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Key points No currently available oral or topical therapy is effective as a monotherapy, but some have shown encouraging results as a part of combination therapy

[PubMed ID: 19798729]

As carnitine biosynthesis constitutes only 25% of the carnitine pool, defects in carnitine biosynthesis do not usually result in carnitine deficiency in adult individuals with normal renal absorptive function and regular diet