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Prog Vet Comp Ophthalmol 1993;3(4):158-164

A further complication is that in darker-skinned individuals, longitudinal melanonychia can commonly occur in one or multiple nails
Seventh, these results should not be applied to patients with primary carnitine deficiency (typically arising from genetic alterations in renal handling or muscle transport of L-carnitine) or secondary carnitine deficiency (typically arising from impaired renal tubular resorption from drug toxicity or hemodialysis)

Certain drugs may affect carnitine levels in the body

This protein, found inside your red blood cells, is responsible for transporting vital oxygen throughout your body
