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Drug interactions Pivalic acid combines with L-carnitine and is excreted in the urine as pivaloylcarnitine, thereby increasing L-carnitine losses (see also Secondary carnitine deficiency)
The presence of major psychiatric illness, chronic renal and/or respiratory insufficiency, tumors, inter-current infections, pregnant or lactating women, and patients who did not fulfill protocol requirements
All treatments performed by qualified, registered medical practitioners at Sebastian Rose, Cardiff
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