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Although PCD can cause lethal cardiac arrhythmia current treatment strategy does not include the use of an implantable cardioverter defibrillator (ICD) as primary prophylaxis

As the final enzyme in the synthesis pathway (BBD) is located in the liver, kidneys and in the brain, only these organs finalize the formation of L-carnitine from BB [29]

By reducing the accumulation of toxic byproducts, L-Carnitine also helps to improve cellular function, enhance energy levels, and promote weight loss

While this is a large disparity, studies have shown that vegans generally don't suffer from a deficiency in L-Carnitine, meaning even that smaller intake is enough when added to what the body makes naturally