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For these reasons, before you (or if appropriate, your child) start taking levocarnitine it is important that your doctor or pharmacist knows: If you are pregnant or breastfeeding, although carnitine is not known to be harmful to babies

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Due to accumulation of metabolic intermediates, impaired carnitine biosynthesis, reduced protein intake, and increased removal of carnitine through hemodialysis (HD), patients who undergo routine HD usually present with plasma carnitine insufficiency [54]

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