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Patient Management and Practical Recommendations Pre-treatment Tests to be Performed Plasma Carnitine Levels: To see if you are actually deficient before starting

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(ii) Stratification and Long-term Follow-up of Maternal-Fetal Outcomes: Short-term outcomes (miscarriage, preterm birth, structural malformations, placental complications, fetal growth abnormalities) and mid-to-long-term outcomes (offspring growth trajectories, metabolic phenotypes) must be pre-defined within a standardized follow-up framework to assess potential metabolic programming risks

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