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Hemodynamic study of intravenous propionyl-L-carnitine in patients with ischemic heart disease and normal left ventricular function
Many use diagnostic codes without distinguishing DTC from MTC Residual confounding cannot be eliminated in observational research (obesity severity, diabetes duration, healthcare utilization) Pharmacovigilance systems identify reporting patterns, not incidence or causality Interpretation: These limitations argue for caution, not alarm
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