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This is like being somewhere in the wintertime and freezing to death, and all of the firewood is stacked outside, but you can't get it into the fireplace

Possible symptoms and signs may include: Persistent fatigue or low energy Muscle weakness or muscle pain Exercise intolerance Low blood sugar, especially during fasting Enlarged liver or abnormal liver function tests Heart rhythm problems or weakening of the heart muscle in severe cases These symptoms are not specific to carnitine deficiency and can occur in many other conditions

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If appetite is low, liquid options like a protein shake can be easier than a full meal, she says