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Characteristic symptoms include severe exhaustion after physical or mental exertion, dizziness when moving from seated to standing, problems with memory and cognition, muscle and joint pain, and unrefreshing sleep

doi:10.1080/09513590.2017.1410785

Disorders Associated with Carnitine Metabolism Diseases related to carnitine metabolism include primary carnitine deficiency (PCD), secondary carnitine deficiency (such as diabetes, kidney disease, etc.), and congenital defects (such as CPT II deficiency, CACT deficiency, etc.)

Methods Study design and setting Data were obtained from the Netherlands Study of Depression and Anxiety (NESDA), an ongoing naturalistic longitudinal cohort study examining course and consequences of depressive and anxiety disorders