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doi: 10.1038/s41556-019-0287-4 69 HuangWHicksonLEirinAKirklandJLermanL

Impairment of excretion of AC occurs with deteriorating renal function leading to decreased carnitine clearance and resulting in elevated plasma levels of carnitine [13]
[40] So remember what I and other functional practitioners always say, All disease (and thereby all healing) begins in the gut. Should you want to learn more about this topic, I encourage you to check out my article on the importance of gut health in Hashimotos
