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Case presentation A 65-year-old Melanau (native Malaysian) lady was diagnosed with end-stage kidney disease (ESKD) secondary to diabetes in March 2020 during a routine follow-up, but was asymptomatic

A 5 mg to 10 mg dose injected prior to exercise is standard for maximizing this metabolic adaptation

Narcolepsy diagnoses were confirmed through a medical record review, using International Classification of Sleep Disorders version 3 (ICSD-3) criteria, or a signed letter from the participant's physician confirming the diagnosis

Taking carnitine, in two forms called propionyl-L-carnitine and acetyl-L-carnitine, at 2,000 mg per day each, improved erectile firmness and duration, exceeding the benefit from oral testosterone

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