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Chronic administration of high doses of oral levocarnitine in patients with severely compromised renal function or in ESRD patients on dialysis may result in accumulation of the potentially toxic metabolites, trimethylamine (TMA) and trimethylamine-N-oxide (TMAO), since these metabolites are normally excreted in the urine

[DOI] [PubMed] [Google Scholar] 90.Naecz KA, Miecz D, Berezowski V, Cecchelli R

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L-carnitine L-tartrate: This form is known for its potent antioxidant properties, which support muscle recovery and minimize muscle damage

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