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See the table below for each titration step

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Effect of L-carnitine supplementation on liver enzymes: a systematic review and meta-analysis of randomized controlled trials

1:1000, Biolegend, 637314) for 20 min at room temperature

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If neurological symptoms are present particularly gait disturbance, sensory ataxia, or progressive limb weakness urgent assessment should be arranged and intramuscular hydroxocobalamin treatment initiated without delay, in line with NICE CKS and BSH guidance on cobalamin and folate disorders