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James 1997)

(3) Improving brain function: L-carnitine has been shown to improve cognitive function and reduce symptoms of depression

Chronic cardiomyopathy and weakness or acute coma in children with a defect in carnitine uptake

The widespread use of HDS, the current lack of regulation, and the uncertainty of the manufacturer or provider-initiated reporting of adverse events preclude an accurate estimation of the frequency of use and the scope of attributable hepatotoxicity