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Abstract As far as my knowledge, there are no academic guidelines for diagnosis and treatment of carnitine deficiency in the world except Japan, namely, Guideline for the Diagnosis and Treatment of Carnitine Deficiency 2016 , that was published on the website of the Japan Pediatric Society in 2016 (it was revised in 2018)

Gut microbiome and colon cancer: role of bacterial metabolites and their molecular targets in the host

Patients should report severe or persistent abdominal pain, chest pain, palpitations, rapid weight loss, or mood changes to their GP or prescriber urgently

It needs attention therapy, coping tools, possibly medication

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