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Interestingly, decreased concentration of L-carnitine was also found in the skeletal muscles of hypothyroid patients (215), suggesting that L-carnitine depletion in skeletal muscles may contribute to myopathy associated with either hypothyroidism or hyperthyroidism
Treatment consists of pharmacological doses of L-carnitine that are meant to maintain a normal blood carnitine concentration, thereby preventing the risk of hypoglycemia and correcting metabolic and myopathic manifestations (34)
On an afternoon in March, Anna Mapp sat down at a table in her office with a loose pile of printouts
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