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I think it is a great read for any healthcare professional as you will likely be asked about this issue

50 Once symptoms develop or become inevitable, dialysis or a kidney transplant is necessary

Not motorized oscillation

Interestingly, although L-carnitine content was comparable between the low-dose and high-dose L-carnitine groups (Figure 2), the counteracting effect of L-carnitine on protein expression was, at least partly, greater in the high-dose group than in the low-dose group (Figure 3)