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once in the morning and once at lunch

However, only the L-carnitine isomers participate in the lipid metabolism ( via three pathways, namely dietary absorption, limited synthesis rate, and effective renal reabsorption ( Figure 1 The hydroxyl group on carnitine can combine with organic acids or fatty acids to form different short-chain, medium-chain, and long-chain esters, namely ACs

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At one-tenth the therapeutic dose, most patients report zero gastrointestinal symptoms