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Keywords: carnitine, Clostridium , constipation, microbiota INTRODUCTION Patients receiving hemodialysis tend to lack essential nutrients because of the dietary restriction and loss caused by dialysis therapy, resulting in the development of various clinical symptoms owing to the deficiencies

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Srbst ya turularn, hceyrlrin enerji mrkzlrin, yni son oksidlmy mruz qaldqlar yer dayr

This vicious cycle of energy depletion, anaerobic shift, and lactic acidosis creates a biological trap that keeps patients locked in a state of chronic exhaustion, highlighting the critical need to restore aerobic mitochondrial function

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