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[19] reported carnitine deficiency in patients with chronic illness, including cancer

The more clinically important question is how often this produces meaningful perioperative harm, which patients are at highest risk, and how clinicians should balance aspiration prevention against the metabolic, cardiovascular, logistical, and equity-related consequences of withholding therapy

10.1093/jn/134.3.489 2

Testing revealed cholinergic insufficiency and low BDNF expression

Other drugs that exert similar effects include Nitrofurantoin, Sulfones, and Sulfonamides such as Sulfanilamide and Sulfacetamide (54, 55)