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Bone age assessment may be considered if growth concerns arise

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Carnitine deficiency A typical, well balanced omnivorous diet contains significant amounts of carnitine (20200 mg/day for a 70 kg person) as well as the essential amino acids and micronutrients needed for carnitine biosynthesis

doi: 10.1016/j.biomaterials.2014.05.053 75 ChenZShiTZhangLZhuPDengMHuangCet al

Some patients can get off these medications after losing and maintaining their weight for a while, but you should work with your clinician to make sure youre going off them the right way