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In patients with severe intellectual and motor disabilities, Murata and collaborators reported that the level of free carnitine was significantly correlated with gastric emptying and the severity of constipation and this level was significantly lower in the patients who suffered from constipation
Prior to initiation of levocarnitine therapy, mean plasma levocarnitine concentrations were approximately 20 mol/L pre-dialysis and 6 mol/L post-dialysis

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I am not sure it helps to reduce insulin but she seems more comfortable, more energy
