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Second-generation antihistamines such as cetirizine, loratadine, and fexofenadine are generally preferred for their improved safety profile and minimal cardiovascular effects, and are recommended as first-line options in NICE Clinical Knowledge Summaries for allergic rhinitis

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Some people may have normal carnitine levels while others may have low levels caused by a genetic problem or certain condition that affects the body's ability to produce or absorb it