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This inefficient process produces excessive lactic acid, alters cellular pH, and causes microscopic muscle damage that can take days or weeks to repair

Through normalizing the lowered carnitine palmitoyl transferase function in red cells, LC can help uremic patients with a variety of complications, including muscle symptoms, impaired exercise and functional capacities, cardiac complications, and erythropoietin-resistant anemia (Argani et al., 2005)

Trace impurities in raw materials can also contribute to an L-carnitine smell

Greenberg for critical reading of the revised manuscript

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