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Mohabbat AB, Sandborn WJ, Loftus EV, Wiesner RH, Bruining DH

One example of an exclusively acquired carnitine deficiency involves chronic use of pivalate-conjugated antibiotics

Although not inherently toxic, extended treatment with ASMswhich is common for patients suffering from a chronic disease like epilepsycan lead to the production and accumulation of toxic secondary metabolites inside the cells, leading to side effects like allergic reactions, cell death and organ damage in severe cases 6