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L-Carnitine homeostasis reflects the balance among intestinal absorption, biosynthesis in several tissues, including the liver, kidney, and brain, renal reabsorption, and muscular storage (Evans and Fornasini, 2003), (Longo et al., 2016), and is maintained by the carnitine/organic cation transporter (OCTN) 2 expressed in these tissues (Tamai, 2013)

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Nutrient imbalances Vitamin deficiencies, such as vitamin B12, may lead to skin hyperpigmentation, including on the lips, Dr