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Some studies suggest that carnitine may help reduce the risk of arrhythmias (irregular heartbeat) and angina (chest pain), but it does not appear to lower the risk of heart failure or heart attack

They reflect a policy consensus, still developing and still contested, that the current integrated structure is producing drug prices and access conditions that benefit the integrating entities more than the patients and employers the PBM system was originally created to serve

Although this increase is generally considered safe by the FDA and resolves after cessation of treatment, it is still a potential consideration for patient adherence and preference (82)

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