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Because L-carnitine is known to be an essential co-factor in fatty acid and energy metabolism, and patients on dialysis tend to be malnourished, it might follow that repletion of L-carnitine by the intravenous or oral route could improve nutritional status, particularly among patients with low dietary L-carnitine intakes

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doi: 10.1073/pnas.172378699 20 ChenASMarshDJTrumbauerMEFrazierEGGuanX-MYuHet al