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Both drugs are considered brand-name medications, and currently, theres not a generic form available for either, so patients may find them more expensive than other alternatives

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Diarrhea and other GI adverse events are typically temporary and only mild to moderate

D-carnitine competitively inhibits carnitine acetyltransferase and carnitine palmitoyltransferase, inactivating carnitine acetyltransferase, leading to symptoms of fatigue, and in severe cases, may cause muscle atrophy

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