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doi: 10.1097/GIM.0b013e3181614289 57 SchoonemanM

Thus, dialysis patients, especially those on haemodialysis, may present two abnormalities regarding carnitine levels: a carnitine deficiency and a high acylcarnitine/free carnitine ratio that may further limit free carnitine availability

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Another study, published in 2018, observed changes in muscle strength and lactate markers after 9 weeks of supplementation with 2 g per day [5]

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