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If side effects are severe, your provider may recommend temporarily pausing dose escalation or reducing the dose according to the FDA-approved titration schedule

Do not use if you have primary systemic carnitine deficiency or secondary carnitine deficiency (inborn errors in metabolism) for which levocarnitine supplementation is prescribed and/or monitored by a health-care practitioner

Rai, U., Thrimawithana, T

Effects of vitamin E and selenium yeast on growth performance and immune function in ducks fed maize naturally contaminated with aflatoxin B1