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Sonia Sharifi Namin for their invaluable contributions to the pathological studies associated with this research

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[37], repeated measures ANOVA was used to analyze the serial changes in clinical parameters between two groups, one with 21 patients receiving carnitine supplementation and the other with 21 patients not receiving supplementation, which served as a control

Although water-referenced quantification avoids reliance on metabolite ratios (e.g., Cr-normalization), it is not without limitations