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[1] [3] Secondary carnitine deficiencies may happen as the result of certain disorders, such as chronic kidney failure, or under conditions that reduce carnitine absorption or increase its excretion, such as the use of antibiotics, malnutrition, and poor absorption following digestion

Jacobs PL, Goldstein ER, Blackburn W, Orem I, Hughes JJ: Glycine propionyl-L-carnitine produces enhanced anaerobic work capacity with reduced lactate accumulation in resistance trained males

J Clin Endocrinol Metab 2001;86:3579-94

Van den Wollenberg L, Butler CM, Houwers DJ, et al

A rare case of cytomegalovirus causing respiratory failure and a large pericardial effusion