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Their bodies are literally unable to access and utilize the stored energy required to power basic physiological functions, let alone the energy needed for physical exertion or complex cognitive tasks

Levocarnitine was not bound to plasma protein or albumin when tested at any concentration or with any species including the human.9 In a 9-week study, 12 ESRD patients undergoing hemodialysis for at least 6 months received Levocarnitine 20 mg/kg three times per week after dialysis

Delgado CA, Balbueno Guerreiro GB, Diaz Jacques CE, de Moura Coelho D, Siita A, Manfredini V, Wajner M, Vargas CR (2019) Prevention by L-carnitine of DNA damage induced by 3-hydroxy-3-methylglutaric and 3-methylglutaric acids and experimental evidence of lipid and DNA damage in patients with 3-hydroxy-3-methylglutaric aciduria