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It is associated with substantial healthcare expenditures, reduced occupational productivity and school attendance, and a significantly impaired health-related quality of life among affected individuals ( Another major challenge for both, patients and physicians, is the absence of objective markers in laboratory tests or imaging diagnostics

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Vitamin Bt should not be used to treat serious carnitine deficiency since it can interfere with the body's use of levocarnitine

This product is intended for use by adults only and should not be used by women during pregnancy or lactation