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Insulin action on glucose and protein metabolism during L-carnitine supplementation in maintenance haemodialysis patients

Knight J, Deora R, Assimos DG, Holmes RP

L-carnitine could increase the fat content in breast muscles by decreasing the activity of carnitine palmitoyl transferase-I (CPT-I) (Velasco et al., 1997

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However, more commonly the early signs of the disease are overlooked and the disease is not diagnosed until congestive heart failure develops and the patient presents with coughing, respiratory distress and occasionally, ascites