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Similarly, the impact of vaccination on LC symptoms in LC patients differs among cases, with 16.7% of patients experiencing relief of symptoms, 21.4% experiencing a worsening of symptoms, and 61.9% experiencing unchanged symptoms (118)

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Therefore, the actual prevalence of this condition in the general population may be much higher than originally anticipated.44) Primary carnitine deficiency should be differentiated from other causes of carnitine deficiency

For instance, cationic liposomes can interact favorably with negatively charged cell membranes, facilitating cellular uptake and endosomal escape