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in kidney or liver diseases The diet is entirely plant-based or vegan plant-based foods contain very little Carnitine The energy requirement is higher than usual e.g

I don't think that is the same one I bought, I will check

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Puchalska and Crawford, 2017

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or it may present with clinical symptoms and signs that, although nonspecific and insidious with slow progression, also mimic those seen in many other diseases