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Patients considering discontinuation should engage in thorough discussions with their healthcare providers about realistic expectations and alternative management strategies, with follow-up monitoring within 4-12 weeks after any treatment change

Data availability The nuclear magnetic resonance and mass spectrometry data are provided in the Supplementary Information

L-carnitine supplementation was also associated with 9.3% greater carotid arterial plaque stenosis in males who ate less red meat [3][37]

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