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This deficiency is often triggered by heavy exercise, and can also manifest as a result of exposure to cold, infection, emotional distress, and/or fasting [132]

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These effects together portray L-Carnitine as a prominent and helpful supplement for not just athletes but everyone who is physically active and wants to get the most out of their performance and recovery

De Bie MK, Ajmone Marsan N, Gaasbeek A et al (2012) Left ventricular diastolic dysfunction in dialysis patients assessed by novel speckle tracking strain rate analysis: prevalence and determinants

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therefore, it is speculated that the degree of arterial calcification may be related to the high concentration of TMAO (60)