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Acta Physiol Acad Sci Hung

Patients with renal insufficiency: Patients with severe renal impairment should not be treated with chronic oral administration of high doses of levocarnitine because it can induce an accumulation of the potentially toxic metabolites trimethylamine (TMA) and trimethylamine-N-oxide

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Journal of Cellular Physiology, 234 (2), 13001312

Some may notice a healthy glow and clearer skin within weeks of consistent use