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Thus, L-carnitine may play a key role in maintaining liver function, by its effect on lipid metabolism
Consequently, prolonged use of pivalic acid-containing antibiotics, including pivampicillin, pivmecillinam, pivcephalexin, and cefditoren pivoxil (Spectracef), can lead to secondary L-carnitine deficiency (135)
[DOI] [Google Scholar] Ismail A.M., Hamed A.H., Saso S., Thabet H.H
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This dysbiotic state may compromise gut barrier integrity, creating a pro-inflammatory state
