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Dulaglutide should be used with caution in patients with renal impairment

There are two types of carnitine deficiency: Primary carnitine deficiency A genetic disorder Usually develops by five years of age Symptoms include Disease of the heart muscle (cardiomyopathy) Skeletal-muscle weakness Low blood sugar (hypoglycemia) Secondary carnitine deficiency Caused by other underlying conditions that decrease the amount of carnitine in the body that cause the body to: Increase the amount of carnitine excreted in urine Absorb less carnitine from food Chronic renal failure Use of certain antibiotics Certain medicines, such as valproate Liver disease Digestive disease that causes poor absorption Malnutrition Mitochondrial disease Certain metabolic disorders From Diet and Weight Loss Resources Image source: iStock Images

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