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Therefore, the renal clearance of L-carnitine increases after exogenous administration, approaching GFR after high intravenous doses

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Because levels are often quite low before a deficiency is recognized, it can take some time for serum concentrations to even out and symptoms to subside

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L-Carnitine: An amino acid derivative that plays a role in the production of energy by transporting fatty acids into your cells' mitochondria