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"With the adoption of educational approaches, it will be possible to reduce the risk associated with dietary and nutritional carnitine supplementation, in particular among athletes." Another most recent study published in the February 5 th International Journal of Molecular Science found that carnitine supplementation may increase the risk of cardiovascular disease by a new mechanism of action by the increase and impairment of methyl-metabolism by TMAO

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Despite lack of symptoms, lactulose was started for hyperammonemia and given for 3 days