conducted the present pilot study [2] to examine the ratio of acylcarnitines to free carnitines (AC/FC), a biomarker of cardiomyocyte carnitine insufficiency and impaired -oxidation [3], either in symptomatic HF with reduced left ventricular ejection fraction (LVEF) HFrEF or HF with preserved LVEF (HFpEF), and demonstrated that AC/FC levels in admission were significantly higher than in asymptomatic staged HF, decreasing to comparable levels at discharge
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Drug and Alcohol Review, 44 (6) dar.70007, 1641-1647
When pharmacotherapy is needed, alternatives include phentermine-topiramate (Qsymia), which requires monitoring for psychiatric effects and is contraindicated in pregnancy
