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n=179 ALC, n=174 control), the pooled estimate was similarly in the direction favoring ALC (SMD 0.81, 95% CI 2.42 to 0.81
J Pediatr Gastroenterol Nutr 7:220224 Minkler PE, Hoppel CL (1993) Quantification of carnitine and specific acylcarnitines by high-performance liquid chromatography: application to normal human urine and urine from patients with methylmalonic aciduria, isovaleric acidemia or medium-chain acyl-CoA dehydrogenase deficiency
However, these warning signs represent serious underlying cellular dysfunction that can progress to irreversible complications including subacute combined degeneration , cognitive decline , and neural tube defects in developing pregnancies
Clients may experience temporary redness or mild swelling at the injection site, which typically resolves quickly
