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Managing gastrointestinal side effects : Since breathlessness may relate to gastrointestinal symptoms, strategies to minimise nausea and bloating can prove beneficial: Eat smaller, more frequent meals rather than large portions Avoid lying down immediately after eating Stay well hydrated, sipping water throughout the day Limit high-fat, spicy, or gas-producing foods Consider anti-emetic medication if nausea is severe (prescribed by your doctor after assessment of suitability) If you experience severe vomiting or diarrhoea leading to dehydration, contact your healthcare provider promptly

L-carnitine deficiency in ASD may be caused by a deletion in the TMLHE gene, coding -N-trimethyllysine dioxygenase (TMLD), which is involved in L-carnitine synthesis, resulting in an increased risk of ASD symptoms in children [12]