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Common causes encompass metabolic disorders like fatty acid oxidation defects and organic acidemias, renal issues such as carnitine loss due to chronic renal failure, Fanconi syndrome, dialysis, or certain medications (e.g., vancomycin), dietary factors including vegetarianism, starvation, or specific diets like the ketogenic diet, and liver diseases such as cirrhosis and fatty liver

Carnitine is especially present in animal-based foodstuffs, such as meat and dairy products

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He said the risk extends to unknown contaminants

These lists help prescribers and their patients choose cost-effective treatments that can treat a health condition