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[1] [3] Secondary carnitine deficiencies may happen as the result of certain disorders, such as chronic kidney failure, or under conditions that reduce carnitine absorption or increase its excretion, such as the use of antibiotics, malnutrition, and poor absorption following digestion

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L-carnitine facilitates this process by ensuring efficient transport of fatty acids into the mitochondria, where they are oxidized to produce ATP

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Sexual Dysfunction Post-Chemotherapy One RCT (n=96): Significant improvement in erectile function with L-carnitine, moderate certainty of results