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Carnitine deficit can arise in diseases such endocrine maladies, cardiomyopathy, diabetes, malnutrition, aging, sepsis, and cirrhosis due to abnormalities in carnitine regulation

Each method has specific timing requirements and lifestyle considerations

Routine studies that may be needed include blood work for electrolytes, kidney function and thyroid hormones, an electrocardiogram evaluation of the heart, extended heart monitoring by a Holter monitor (a portable electrocardiogram), and treadmill-exercise testing