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Beyond treating established deficiencies, the compound is used for adjunctive therapy for various chronic conditions, including cardiovascular diseases, by potentially improving myocardial energy metabolism and reducing ischemic damage, and in end-stage renal disease to address carnitine loss during dialysis and improve muscle function and anemia

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However, more serious side effects are possible and can include an increased risk of low blood sugar, inflammation of the pancreas (pancreatitis), and gallbladder problems