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Of note, supplementation with L-carnitine was given in patients with cirrhosis to control hyperammonemia (N=27), to reduce muscle cramps (N=6), or to prevent carnitine deficiency (N=2)

For very dark skin, a laser skin test on a small area is advised before proceeding

If IGF-1 remains below the age- and sex-adjusted reference range at the 3-month visit, the clinician may increase the dose by 0.05 mcg/kg increments up to a ceiling of 0.5 mcg/kg

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What to expect from your doctor Your doctor is likely to ask you a number of questions