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Moreover, the necessary treatment of pain can lead to complexities created by dependence or hyperalgesia [49]

Whether carnitine deficiency is related to the primary metabolic defect, to the concomitant liver disease observed in the initial presentation, or to benzoate therapy is unclear

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Yafi FA, Pinsky MR, Stewart C, Sangkum P, Ates E, Trost LW, et al

PMID 16300414
