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Both L-carnitine loss into the dialysate and impaired synthesis by the kidneys contribute to a progressive carnitine deficiency in patients with end-stage renal disease (ESRD) undergoing hemodialysis (71)
However, the most important element is medical necessity
From these results, the perioperative administration of CT is considered to accelerate the recovery of the granulocyte count, IL-6, and CRP levels from the postoperative increase and to prevent the postoperative increase in the REE
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