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Description
A lack of carnitine in dialysis patients is caused by insufficient carnitine synthesis and by the loss through dialytic membranes, leading, in some patients, to carnitine depletion and a concomitant relative increase in esterified forms of carnitine [43]

10.1016/s1474-4422(13)70261-8 23 HagenT
1000 BioTech USA

Increased urinary losses of carnitine can lead to the systemic depletion of carnitine (6)

Levels of L-carnitine and L-O-acetylcarnitine in normal and infertile human semen: a lower level of L-O-acetycarnitine in infertile semen

One practical tip for people choosing a commercial product is to favor transparent brands that publish human data and thirdparty testing
