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[PubMed: 1522745] 434

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The muscle weakness mainly affects the muscles around the hips, and is less severe than in Types I and II

scielo.br/ Chronic oral ingestion of L-carnitine and carbohydrate increases muscle carnitine content and alters muscle fuel metabolism during exercise in humans

We have identified a need to establish and codify objective criteria that can be used to inform the removal of a cost measure from the MIPS cost performance category