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Most patients find that slowing the dose increase rate resolves discomfort without stopping treatment entirely

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L-Carnitine Deficiency Syndrome: Symptoms of carnitine deficiency include a low exercise tolerance, chronic fatigue, poor exercise endurance, weakness & muscle pain (5)

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This observation may explain the relatively low incidence of immunogenicity of the drug product despite the high promiscuity of T-cell epitopes identified by in silico analysis of the TPT API peptide sequence

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