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While previous research has suggested that hemodialysis patients often have carnitine deficiency ( Carnitine has a crucial role in lipid metabolism, considering its involvement in the beta-oxidation of fatty acids and reducing the conversion of free fatty acids (FFA) to TG ( Although previous studies have demonstrated that LC supplementation generally improves lipid profiles ( P = 0.87) or TC (-0.24, P = 0.33)

Chen et al., also using NHANES, observed that HT patients following more pro-inflammatory diets showed higher TSH and TT4, though no significant association with thyroid antibodies was found [169]

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Adding a multi-strain probiotic, especially those containing Lactobacillus and Saccharomyces boulardii can restore balance, improve immunity, and prevent recurrence

These steps were performed using air-saturated buffers