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Some practitioners prefer stacked approaches because healing often involves multiple pathways simultaneously

Those on plant-based or low-carnitine diets (vegans/vegetarians typically consume less dietary carnitine)

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4,16,17,18,19,20,21,22 Increased HIF activity in tubular epithelial cells prior to the onset of a toxic or ischemic renal insult appears to diminish the severity of tubular injury, which should be a beneficial effect, but increased expression of HIF in tubular epithelial cells has also been shown to trigger interstitial fibrosis, which is linked to loss of kidney function

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Limitations of the present study include the relatively short duration of the observation