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In: Shils ME, Olson JA, Shike M, Ross AC, eds

Dialysis-associated carnitine deficit, in turn, has been linked to a number of symptoms seen in uremic patients, including fatigability, cardiomyopathy, anemia, and skeletal muscle weakness (Eknoyan et al., 2003)

This allows for more intensive training, which is why you need the extra calories to avoid losing weight

Practice recommendations for the use of L-Carnitine in dialysis-related carnitine disorder National Kidney Foundation Carnitine Consensus Conference

Ann NY Acad Sci 2004;1033:108-16

In a nutshell, the results of this study, published online in the journal Nature Medicine , suggest that orally dosed l-carnitine is metabolized by intestinal bacteria to produce a substance called trimethylamine (TMA)
