Reported side effects of corticosteroids include: Hydroelectrolytic disorders: sodium retention, potassium loss, hypokalemic alkalosis, fluid retention, congestive heart failure in susceptible patients, hypertension Musculoskeletal: muscle weakness, myopathy, loss of muscle mass, aggravation of myasthenic symptoms in myasthenia gravis, osteoporosis, vertebral compression fractures, aseptic necrosis of the head of the femur and humerus, pathologic fracture of long bones, tendon rupture Dermatological: impaired wound healing, atrophy and thinning of the skin, fragile skin, petechiae and ecchymoses, facial erythema, increased sweating, suppression of reactions to skin tests, allergic dermatitis, urticaria, and angioedema
In addition, preterm infants, dialysis patients, and HIV positive individuals seem to be prone to a deficiency of L-carnitine, and benefit from supplementation
Acetyl L-Carnitine is a modified form of carnitine that has the dual benefit of supporting mental fatigue, improving mood levels and alertness as it crosses the blood-brain barrier with ease while supporting the metabolic effects (shuttling of long-chain fatty acids into the mitochondria) that carnitine has become known for
A sleep specialist can help in determining your need for evaluation