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Only the L-isomer should be used clinically, because exposure to the racemic D, L-carnitine has produced reversible myasthenia in uremic patients

Supplementation favorably affected markers of lipid and protein damage : malondialdehyde rose in the placebo group but fell with vitamins, while protein carbonyls increased in the placebo group but remained stable in the supplemented group

The major findings are that aerobic glycolysis is not a symptom of impaired mitochondrial function, and that glutamine supports mitochondrial oxidative metabolism when pyruvate derived from glucose is converted into lactate and secreted 2,3,4

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