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People with existing joint diseases such as rheumatoid arthritis or osteoarthritis are also at a heightened risk

Levocarnitine is an amino-acid derivative essential for mitochondrial fatty-acid transport, and this injectable formulation is used to treat or prevent clinically significant carnitine deficiency in conditions such as primary systemic carnitine deficiency, certain inborn errors of metabolism, and end-stage renal disease on dialysis

Anaerobic microbial l-carnitine catabolism generates BB as an intermediate

The practical stakes for patients are enormous

Hydration, movement, and dietary adjustments often help, but ongoing symptoms should be addressed