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While these case reports suggest a role for Lcarnitine therapy, the concomitant use of haemodialysis in several of the cases makes it difficult to establish whether the decrease in serum ammonia resulted from haemodialysis or Lcarnitine or both

Although it is possible to take individual supplements of lysine and methionine, it is preferable to consume them as part of a balanced formulation of essential amino acids so that the normal balance of all amino acids in the blood is maintained.

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Disposition of Incarnitine and acetyl-L-carnitine in the isolated perfused rat kidney