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Propionyl-L-Carnitine: Studied for its effects on the heart and blood circulation, it is often used to improve peripheral blood circulation

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Risk factors may include: Family history of primary carnitine deficiency Infancy or prematurity Long-term dialysis or significant kidney disease Use of certain medications, including valproate Malabsorption or severe nutritional deficiency Suspected inherited disorders of fat metabolism How doctors diagnose carnitine-related problems Diagnosis begins with a careful medical history and examination