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The lipid-lowering effect, anti-inflammatory properties, and ability to reduce ischemic-related injury are among the mechanisms through which L-carnitine exerts its beneficial effects in various cardiovascular diseases

Omega 3 fatty acids in bipolar disorder: a preliminary double-blind, placebo-controlled trial Arch Gen Psychiatry 1999

MaruyamaTHiguchiTYamazakiTOkawaEAndoHOikawaOet alLevocarnitine injections decrease the need for erythropoiesis-stimulating agents in hemodialysis patients with renal anemia

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Patients with renal disease who undergo hemodialysis are at risk for secondary carnitine deficiency because hemodialysis removes carnitine from the blood (see End-stage renal disease) (38)

Fatigue is a major extraintestinal manifestation of celiac disease
