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After completion of the initial l-carnitine or BB challenge (baseline or visit 1), an ensuing week-long treatment of oral antibiotics (7) was given to suppress intestinal microbiota, and the challenge (d 3 -l-carnitine or d 9 -BB) was then repeated (visit 2)
Understanding whether this symptom is related to the medication or indicates another issue is essential for safe and effective management
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