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[1] [3] Secondary carnitine deficiencies may happen as the result of certain disorders, such as chronic kidney failure, or under conditions that reduce carnitine absorption or increase its excretion, such as the use of antibiotics, malnutrition, and poor absorption following digestion
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Lower estrogen levels also play a role in where fat is distributed, leading to more weight gain around the midsection as opposed to other areas
They are most common when starting treatment or increasing your dose, and usually improve quickly as your body settles into a routine
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