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Research has suggested that low iron levels may be the underlying factor in decreased carnitine levels during pregnancy (as iron is a needed cofactor in the synthesis of carnitine in the body)

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(2013) Diabetes | doi:10.2337/db12-0466 Servillo L, Giovane A, Cautela D, Castaldo D, Balestrieri ML.: Where does N()-trimethyllysine for the carnitine biosynthesis in mammals come from