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While there are various causes for this enzyme to be elevated, muscle damage, or a problem with thyroid hormones, are two potential causes

If you take valproic acid during pregnancy for any medical condition, your baby is at risk for serious birth defects that affect the brain and spinal cord and are called spina bifida or neural tube defects

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[DOI] [PMC free article] [PubMed] [Google Scholar] 15.Frye RE, Sequeira JM, Quadros EV, James SJ, Rossignol DA

In caso di malattie del fegato o dei reni Poich i reni e il fegato sono organi che producono L-carnitina, se soffriamo di una malattia in essi, le nostre riserve di questo aminoacido si ridurranno, quindi avremo bisogno di un contributo esterno