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The addition of creatine helps maintain lean muscle mass, strength and power

A recent study provides new insights into this link by exploring how the gut microbiota generates proatherogenic metabolites from L-carnitine and how the microbiota is altered in response to an omnivorous diet (pages 576585)

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[4] A secondary deficiency is caused by other health conditions or disorders, such as chronic renal failure, or reduced carnitine absorption in the gut (may be caused by certain antibiotics)

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In addition, future studies are needed to confirm whether peripheral ghrelin suppresses LEAP-2 expression in other tissues outside of liver ( e.g