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Taking these antibiotics increases the excretion of pivaloyl-carnitine, which can lead to carnitine depletion
The safest decision comes from identifying the likely cause, considering symptoms and risk factors, testing where appropriate and following a treatment plan
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Postgrad Med J (2003) 79(930):21820.10.1136/pmj.79.930.218 14 AndresEHenoun LoukiliNNoelEMaloiselFVinzioSKaltenbachGet alEffects of oral crystalline cyanocobalamin 1000 mug/d in the treatment of pernicious anemia: an open-label, prospective study in ten patients
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