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Fagher, B., Thysell, H., Nilsson-Ehle, P., Monti, M., Olsson, L., Eriksson, M., Lindstedt, S., and Lindholm, T

2003;41(Suppl 4):S13S26

S2CID 6990201

Creatine is a Conditionally Essential Nutrient in Chronic Kidney Disease: A Hypothesis and Narrative Literature Review

On the other hand, some literature suggests that L-carnitine, by promoting pyruvate oxidation, may accelerate carbohydrate breakdown, leading to rapid depletion of muscle glycogen and potentially producing a detrimental effect on exercise performance

Consider the diagnosis in anyone with a coma and hypernatraemia, hypoglycaemia or a lactic acidosis
