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10.17219/acem/61609 [DOI] [PubMed] [Google Scholar] 33.Vidal-Casariego A, Burgos-Pelaez R, Martinez-Faedo C, Calvo-Gracia F, Valero-Zanuy MA, Luengo-Perez LM, et al

CPT2 deficiency presents with a range of symptoms, from a severe form with infant (or neonatal) problems, including heart, liver, or kidney abnormalities or failure

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The FDA does not check these drugs for safety or how well they work, as theyre often made in smaller pharmacies, not by big drug companies

But because racemic ALA has a much longer track record in clinical trials and because it offers greater manufacturing stability and affordability it's often the more reliable and cost-effective choice for most users

Additionally, carnitine may worsen symptoms of hypothyroidism