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Some are produced by the body by processing food, others, which the body cannot synthesize, must be taken directly with food

L-Carnitine is a non-essential amino acid that helps to maintain overall good health by facilitating the transfer of fatty acid groups into the mitochondrial membrane for cellular energy production.* It naturally occurs in red meat and other animal source foods, but NOW recommends supplementation to obtain optimal levels of this excellent amino acid.* NOW uses only Carnipure , a special grade of L-Carnitine (L-carnitine tartrate) manufactured by the Swiss life sciences company Lonza.* NOW L-Carnitine is a pure form, and vegetarian (non-animal sourced).*

This is not a "which is better" comparison in the conventional sense

Furthermore, intermittent hemodialysis is superior for clearance of ammonia