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The results showed that 390 children who received L-carnitine supplementation had higher mean levels of L-carnitine than children without L-carnitine supplementation (40)

So essentially, more was being produced, but also, more was being excreted, resulting in an ongoing deficiency

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Stem Cells Translational Medicine, 2012

In a subsequent trial of 10 patients with excessive intestinal oxalate absorption (caused by several different medical conditions), the patients were administered a probiotic formula that contained Lactobacillus and Bifidobacterium strains