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Also known as End-Stage Renal Disease, serious kidney disease has a lot of issues associated with it

Discuss your concerns with your doctor if you're tempted to stop your medication

Patients homozygous for p.N32S had lower mean plasma carnitine levels, the lowest mean residual OCTN2 carnitine transport activity in their fibroblasts, and had a high risk of having symptoms (hypoglycemia or cardiomyopathy in children, sudden death or fatigue in adults) [142], with plasma and tissue carnitine levels dropping rapidly after discontinuation of oral carnitine supplements [143]