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Cardiac Manifestation in Heterozygotes Heterozygous carriers usually have about 50% carnitine transport activity in fibroblasts and can have borderline low plasma carnitine levels due to increased urinary loss.16) This raises a question of whether they may be susceptible to cardiac dysfunction, left ventricular hypertrophy and arrhythmias in the context of aging and additive cardiac risk factors

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These may signal that the medication is affecting the gastrointestinal system more than expected

PMID: 20591140 5

It also helps prevent confusion between BPC-157, BPC 157, pentadecapeptide BPC 157, and any salt-specific listing