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Persistent severe symptoms that interfere with daily activities or lead to dehydration should prompt immediate medical consultation, as medication discontinuation or alternative treatments may be necessary

They usually occur during the initial treatment stage or when you increase the dose of medication

Potential candidates People with documented L-carnitine deficiency (rare but does occur, particularly in individuals with certain genetic conditions, kidney disease, or those on dialysis) have a clear medical rationale for L-carnitine supplementation

Established therapeutic approaches have demonstrated efficacy through rigorous clinical trials and should remain the foundation of autoimmune disease management