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doi:10.1001/jama.284.23.3015 Peromaa-Haavisto P, Tuomilehto H, Kossi J, et al

Patients with end-stage renal disease undergoing dialysis can develop a secondary carnitine deficiency due to the unrestricted loss of L-carnitine through the dialyser, and L-carnitine has been used for treatment of some patients during long-term haemodialysis

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