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Secondary carnitine deficiency can be caused by increased losses, pharmacological therapy, a number of inherited metabolic disorders [38], poor diet or malabsorption of carnitine, from increased renal tubular loss of free carnitine (Fanconi syndrome), haemodialysis, peritoneal dialysis, or the increased excretion of acylcarnitines[39] with certain drugs

Most insurance options will cover extended-release and brand-name versions for diabetes, but the person may be required to try the immediate-release version first due to the lower cost

Magnesium supplements can help if you need more minerals and come in gummy form

Comp Biochem Physiol A Physiol

Antioxidants (Basel) 2019