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During pregnancy, Lp(a) values increase ~2-fold and return to baseline levels after delivery [87], hence some available studies have indicated an increased risk of pregnancy complications, including preeclampsia, low birth weight or preterm delivery, and some guidelines recommend monitoring Lp(a) levels during pregnancy [88]

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Thus, carnitine supplementation may be required for repletion

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However, clinical translation has been challenging due to delivery issues and side effects

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