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[1] [3] Secondary carnitine deficiencies may happen as the result of certain disorders, such as chronic kidney failure, or under conditions that reduce carnitine absorption or increase its excretion, such as the use of antibiotics, malnutrition, and poor absorption following digestion

However, for those on a restricted diet - including vegans or people with an intolerance to wheat and dairy for example - it may be harder to get enough

Effects of L-carnitine supplementation in maintenance hemodialysis patients: a systematic review

MW 2020.23) The pH of a solution of EC 1392 (20 mg) in 40 mM pH7 phosphate buffer was adjusted to 8 with a saturated NaHC0 3 solution