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doi: 10.1038/s41390-019-0497-2, PMID: [DOI] [PubMed] [Google Scholar] 38.Protas PT, Kpka A, Rybi-Szuminska A, Storonowicz J, Klukowski M, Wasilewska A

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Carnitine supplementation has been shown to increase testosterone in some people but not others, suggesting an unreliable effect

Chronic administration of high doses of oral levocarnitine in patients with severely compromised renal function or in ESRD patients on dialysis may result in accumulation of the potentially toxic metabolites, trimethylamine (TMA) and trimethylamine-N-oxide (TMAO), since these metabolites are normally excreted in the urine