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Include iron if menstruating (check levels first)

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Stohs SJ, Hartman MJ

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Carnitine is a naturally occurring amino acid derivative crucial for the transportation of long-chain fatty acids into the mitochondria of cells, where they are oxidized to produce energy

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Nutrients , 12 (5), 1389

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Patients with severe symptoms, inability to maintain hydration, or significant weight loss may require hospitalization for intravenous fluids, nutritional support, and symptom management

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