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Description
Chronic oral administration of high doses of levocarnitine in patients with severely impaired renal function or end-stage renal disease (ESRD) and dialysis patients may lead to accumulation of the potentially toxic metabolites trimethylamine (TMA) and trimethylamine-N-oxide (TMAO), as these metabolites are normally excreted in the urine
& Kranzusch, P
Experimental and Clinical Endocrinology & Diabetes, 123, 95-100
[CrossRef] [PubMed] 6

It also contains the potentially beneficial component MFGM

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