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Fortunately, it can typically be managed by dividing the daily dose into smaller amounts, adjusting the total dosage, utilizing specific hygiene practices, or occasionally using a short course of targeted antibiotics [6] [7]

were responsible for the statistical work and for writing the manuscript

Secondary carnitine deficiency is more common and is usually associated with dialysis in chronic renal failure, although it can also be induced by intestinal resection, severe infection, and liver disease

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