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Side effects can include: Worsening of acidosis (including ketosis, lactatemia)
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S., & Camic, C

Transport of butyryl-L-carnitine, a potential prodrug, via the carnitine transporter OCTN2 and the amino acid transporter ATB(0,+) Am J Physiol Gastrointest Liver Physiol

Department of Agriculture, Agricultural Research Service
