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Because the body can produce L-carnitine itself, it is usually not a low-carnitine diet that is the problem, but a lack of the nutrients that the body needs as production cofactors

Increased susceptibility to methotrexate-induced toxicity in nonalcoholic steatohepatitis
J Neurochem 79:959969 [DOI] [PubMed] [Google Scholar] 60.Kim HI, Raffler J, Lu W, Lee JJ, Abbey D, Saleheen D, Rabinowitz JD, Bennett MJ, Hand NJ, Brown C, Rader DJ (2017) Fine mapping and functional analysis reveal a role of SLC22A1 in acylcarnitine transport
