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[8] L-carnitine has been reported to potentiate the anticoagulant effect of warfarin through unknown mechanisms, with case reports documenting supratherapeutic international normalized ratios after initiation of parenteral carnitine in malnourished adults
However, glycemic fluctuations that may occur in adolescents may be impacted by altered gastric emptying [47]
Value-based drug pricing by itself will not make all needed medications affordable
They require expert guidance.
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