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[60] Low muscle tone (hypotonia) can be a sign of many underlying conditions, including vitamin deficiencies (B1 and other B vitamins), hypothyroidism, carnitine deficiency, creatine deficiency, and methylation issues, as well as genetic conditions (of which there are hundreds)

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L-Carnitine is a natural chemical produced in the brain, liver, and kidneys, known for its remarkable ability to convert fat into energy

It also decreases mitochondrial energy, which slows down motility

Kalthur 2010

(34798964) drug interactions Phenytoin is cleared by CYP2C9 (~90%) and 2C19 (~10%), leading to drug-drug interactions