Chronic oral administration of high doses of levocarnitine in patients with severe renal impairment or end stage renal insufficiency (ESRD) and dialysis may induce an accumulation of the potentially toxic metabolites trimethylamine (TMA) etrimethylamine-N-oxide (TMAO), in how much these metabolites are normally excreted in the urine
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But the proposed approach, outlined in the journal Molecular Metabolism by some of the most well-known scientists in the field, is likely to stir controversy, as it challenges a central notion underpinning not just the development of approved obesity products but also next-generation versions
Changes in oxygen availability and transport with aging were also not included due to data challenges
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