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Key Takeaways L-Carnitine is essential for transporting long-chain fatty acids into the mitochondria, where they are oxidized to produce energy
Gastrointestinal side effects remain common, titration strategies require patience, and certain patientsespecially those with medullary thyroid carcinoma, severe gastroparesis, or history of pancreatitismay not qualify for therapy
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Topical NSAIDs like diclofenac gel are recommended (due to very low systemic absorption)
We work closely with patients to ensure their plan is safe, effective, and tailored to their unique needs
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