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One of the most significant interactions is with anticoagulant and antiplatelet drugs, such as warfarin and aspirin

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If untreated, people deficient in carnitine are at risk for cardiomyopathy (heart muscle damage) and even sudden cardiac death

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J Hazard Mater 430:e128476

Beyond direct electrophysiological interference, both cocaine and energy drinks exert profound effects on the autonomic nervous system
