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Description
Secondary carnitine deficiency may also arise from other deleterious conditions such as hemodialysis or renal tubular dysfunction, which result in excessive loss of carnitine in urine

doi: 10.1016/j.yexcr.2017.03.043 35 ONeillLAJKishtonRJRathmellJ
It comes from tissue stretching as the fluid goes in and from the pH difference between the solution and body tissue

Wilmut, I

Is Powerlife Bio-A Nutri L-Carnitine safe for daily use

