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The driver may be mast-cell-mediated or systemic rather than NF-B-local, and if so, increasing the dose for additional KPV will not address it see the mast-cell note under Phenotype Considerations

Key sources include: Red meat such as beef, lamb, and pork Poultry including chicken and turkey Fish like cod, salmon, and tuna Dairy products such as milk, cheese, and yogurt Plant-based sources including avocados, soybeans, and tempeh Because plant sources contain much lower amounts of L-carnitine, vegetarians and vegans may struggle to obtain sufficient levels through diet alone

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