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Any active malignancy is an absolute contraindication History of certain cancers: Discuss any cancer history with your physician

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Preclinical risk based on known effects: a Mendelian randomization study of cohorts and large consortia established increased risk of coronary artery disease with increased intake of L-carnitine (Zhao 2022)

Literature search was conducted on PubMed, Scopus, Web of Science, and Embase using a combination of the keywords gut microbiota, gut microbiome, gut-brain axis, gut-kidney axis, gut-brain-kidney axis, chronic kidney disease, dysbiosis, therapy, metabolites, and neuroinflammation. Relevant studies were selected and synthesized in this narrative review

Case after case has been documented with Vitamin B12 deficiencies contributing to poor blood cell production and malfunctions