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Patients with active or suspected cancer should obtain clearance from their oncologist before beginning treatment

Ann N Y Acad Sci 1033:168176 Cruciani RA, Dvorkin E, Homel P, Culliney B, Malamud S, Lapin J, Portenoy RK, Esteban-Cruciani N (2009) l-Carnitine supplementation in patients with advanced cancer and carnitine deficiency: a double-blind, placebo-controlled study