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Summary Keywords L-carnitine, carnitine, serum lipid, hemodialysis, chronic kidney disease, nephropathy, meta-analysis Citation Karimi M, Pirzad S, Pourfaraji SMA, Parhizkar Roudsari P, Shirsalimi N and Ahmadizad S (2024) Effects of L-carnitine supplementation on lipid profile in adult patients under hemodialysis: a systematic review and meta-analysis of RCTs

FIGURE 4 Surprisingly, cascades with TMLH, but lacking one or more (active) enzymes (combination C, D, E, F, and G) also showed L-carnitine biosensor signal output, albeit it was significantly lower than that of the complete cascade (combination H)