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doi: 10.1111/j.1440-1681.2006.04327.x
269 Symptoms of heart failure with normal or high cardiac output may be seen with conditions such as severe anemia, hyperthyroidism, and large or multiple arteriovenous shunts

pmid:21115803 65

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Pregnancy Reproductive studies have been performed in rats and rabbits at doses up to 3.8 times the human dose on the basis of surface area and have revealed no evidence of impaired fertility or harm to the fetus due to levocarnitine

Ahsan H, Ahad A, Iqbal J, Siddiqui WA
