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Patients should be advised to seek immediate medical attention if they experience severe or persistent gastrointestinal symptoms, signs of dehydration, inability to tolerate oral intake, severe constipation with abdominal distension, right upper quadrant pain with fever or jaundice, or symptoms suggestive of pancreatitis or bowel obstruction

Effects of L-carnitine on the apoptosis of spermatogenic cells and epididymal sperm count and motility in rats with diabetes mellitus

Similarly, carnitine/acetyl-L-carnitine has been used in treatment of degenerative neuronal function in older Down's Syndrome patients since upon autopsy it was revealed that almost 100% of these patients over 40 years of age had symptoms of dementia [117]

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Kario K, Okada K, Kato M, et al