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In some cases, there may also be heart problems like dilated cardiomyopathy, which can progress to heart failure and death if not treated promptly with a substance called carnitine

doi: 10.1016/S0140-6736(12)60990-8 3 SeymourCWKennedyJNWangSChangCHElliottCFXuZet al

MAD has several advantages including that it is safe, effective, can be rapidly initiated, and that its beneficial effects can be observed almost immediately (7)