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Only specialised LC-MS/MS assays used in competitive sports can identify it within a 2448 hour window

N Engl J Med 2014;370:1879-1888 17

Carnitine homeostasis reflects the balance among absorption from the diet, endogenous biosynthesis, and efficient renal reabsorption [7]

doi: 10.1016/s0008-6363(96)00245-3
