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[DOI] [PMC free article] [PubMed] [Google Scholar] 137.Salama A, Fayed HM, Elgohary R

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It is, however, advised that an electrocardiogram (ECG) be done in every child before starting on stimulants, and this may be supplemented by a 2D echocardiography (2D ECHO) when needed (Findling et al ., 2001[37])

Carnitine levels and the ability to synthesize carnitine decline as we age [7], which may help explain why energy levels tend to dip and metabolic health tends to decline as we get older, even if all else remains pretty stable