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Sleep is often the overlooked variable

Elghandour, M., et al

While the efficacy of levocarnitine to increase carnitine concentrations in patients with ESRD undergoing dialysis has been demonstrated, the effects of supplemental carnitine on the signs and symptoms of carnitine deficiency and on clinical outcomes in this population have not been determined

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Studies indicate that supplementation can support lean muscle gains by aiding protein synthesis and reducing inflammation that might interfere with growth