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In endometrial settings, Xu et al

This storage capacity means that deficiency symptoms often develop slowly, sometimes taking years to manifest after dietary intake becomes inadequate or absorption is compromised

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[8] L-carnitine has been reported to potentiate the anticoagulant effect of warfarin through unknown mechanisms, with case reports documenting supratherapeutic international normalized ratios after initiation of parenteral carnitine in malnourished adults