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The FDA acknowledges BII and has worked to increase awareness

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El-Mashad GM, El-Hawy MA, NaserBahbah HM, Bedair HM, Habib MI (2021) The effect of L-carnitine therapy on anaemia therapy in paediatric patients on regular haemodialysis

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This strongly suggests that the metabolic shock of rapid dose escalation, not the medication dose itself, drives most fatigue complaints

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