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L-carnitine acts as a "fat transporter" and is essential for muscle function as well as the nervous, cardiovascular, and metabolic systems

doi: 10.1016/j.cyto.2012.04.011

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Our study has limitations that need to be acknowledged including the retrospective study design and the relatively small sample size despite screening an initial cohort of over 1000 samples sent for ammonia testing

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Offering their weight-loss and diabetes medications directly to patients, similar to how the compounding companies were operating, is a marked departure from the norm and could have profound effects for patients, plan sponsors, and the broader healthcare system