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doi: 10.1038/s10038-019-0563-y

Combine with carbs: Consuming L-carnitine with a small amount of carbohydrates can improve absorption due to an insulin response

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Therefore, malnutrition, losses in dialysate, and kidney failure, as organs involved in the synthesis and reabsorption of carnitine, can all lead to carnitine deficiency in CKD patients

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