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Secondary carnitine deficiency can be caused by increased losses, pharmacological therapy, a number of inherited metabolic disorders [38], poor diet or malabsorption of carnitine, from increased renal tubular loss of free carnitine (Fanconi syndrome), haemodialysis, peritoneal dialysis, or the increased excretion of acylcarnitines[39] with certain drugs

"L-carnitine + clomiphene in PCOS: RCT." Eur J Obstet Gynecol Reprod Biol 2014;180:148-52

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Pharmacological effects and clinical applications of propionyl-L-carnitine

If you feel you are experiencing the negative symptoms of low human growth hormone, you could consider either option