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The symptoms of levocarnitine deficiency may include muscle weakness (muscles of the hips, shoulders, neck, jaw, and even heart muscles), fatigue, low blood sugar, stomach pain, growth retardation, brain function defects, etc

International journal of molecular sciences, 25(8), 4346

[PubMed: 19141587] 51

The key takeaway: most patients tolerate these medications well, especially when doses are titrated slowly over months