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In hemodialysis patients with carnitine deficiency, intravenous L-Carnitine (1040 mg/kg after dialysis sessions) significantly increased plasma carnitine levels, reduced fatigue, and preserved exercise capacity over 24 weeks with excellent tolerability [5]

Severe symptoms might include blurred vision, slurred speech, poor coordination, or even loss of consciousness

Alterations in urine smell are more commonly attributed to dehydration from gastrointestinal side effects, dietary changes, or unrelated factors such as urinary tract infections

As soon as it is absorbed through the intestinal wall, the liver rapidly metabolizes it, breaking it down into cysteine to immediately synthesize glutathione for its own localized use

Absolutley and it fact it is recommended

Assessing the benefit-risk profile of newer glucose-lowering drugs: A systematic review and network meta-analysis of randomized outcome trials