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After the dura was opened, a solid black tumor growing along the right C5 nerve root was observed adherent to the spinal cord

FIGURE 10 4 Discussion Lenvatinib therapy is a standard treatment for various cancers but frequently causes adverse reactions, including carnitine insufficiency ( L-Carnitine has excellent tolerability ( Non-etheless, the effect of L-carnitine on protein synthesis seems to be the primary mechanism for protection against lenvatinib-induced muscle toxicity

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Rare hepatotoxicity, the heterogenicity of extract formulations available in the market, and loose regulatory control argue for liver function monitoring during long-term use as well as intake of clinically-trialled products (100)