Your healthcare provider may arrange blood tests to exclude other causes of fatigue, including full blood count (to check for anaemia), thyroid function tests, vitamin B12 and folate levels, vitamin D status, renal and liver function, and HbA1c to assess diabetes control
If gastrointestinal symptoms persist despite adequate hydration and supportive measures, your provider may consider dose reduction, temporary treatment interruption, or prescribing anti-emetic medications such as ondansetron or metoclopramide
The treatments quick and efficient nature, typically requiring only 20 minutes, means it can easily fit into a hectic lifestyle
Another early study examined hemodynamic and angiographic variables before, during, and after administering intravenous propionyl-L-carnitine (15 mg/kg body weight) in men with myocardial dysfunction and angina pectoris (62)