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Yes, though the transition requires careful planning

Free Radic Biol Med 48:399410

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Renal Function and Dialysis Research Kidney disease profoundly affects L-Carnitine homeostasis, creating a research area at the intersection of renal physiology and metabolism: Renal Carnitine Handling: Investigation of tubular reabsorption via OCTN2, urinary excretion patterns, and renal threshold determinations