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- Take carnitine with a carbohydrate-containing meal for better muscle uptake

But: only ~59% report sudden onset

In podocytes, augmentation of the DPP-4-Integrin 1 signaling cascade led to loss of GBM charge, alterations in podocyte cell permeability, foot process effacement, and podocyte cell death, and these cumulative effects lead to associated activation of mesenchymal signal transduction in tubules and endothelial cells, foot process effacement, increased albuminuria, and podocyte death (Srivastava et al., 2024)

Clinicians should focus on established adverse effects such as gastrointestinal symptoms, pancreatitis risk, and thyroid considerations rather than unsubstantiated neurological concerns