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Blood 136(8):936-945, 2020
Potential adverse effects included radiation tissue injury and oxygen toxicity seizures (Bennett 2012)

Regression in primary cutaneous melanoma: etiopathogenesis and clinical significance

When carnitine levels drop, the body loses its ability to efficiently utilize fat stores for energy, forcing it to rely on less efficient metabolic pathways that generate toxic byproducts and contribute to systemic fatigue

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