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In older children or adults it may be considered if there are clinical symptoms suggestive of carnitine deficiency (hypotonia, lethargy), a significant decrease in the serum free carnitine levels, an impairment in hepatic function tests, or hyperammonaemia, even in the absence of VHE
Pick 2 or 3 easy GLP-1 breakfast ideas from this list
Commander-directed testing Military commanders can order specialized testing when there is reason to believe a service member is using specific substances
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