l carnitine cause heart arrhythmia Deficiency: What Is It, Causes, Symptoms, and More 4 Benefits of L-Carnitine for
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Piper et al., 1984)
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When they are present in large number look for hyposplenic features, or for pathological states that have iron-loading or aberrant iron metabolism

During ischemic events, carnitine prevents fatty acid ester accumulation, which can lead to fatal ventricular arrhythmias [3][33][34]

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