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PMID 15860375

While hemodialysis is a common form of therapy in these patients, it cannot resolve cardiac dysfunction, leading to the conclusion that circulating toxins that are removed from the system during hemodialysis are not a factor that causes these problems

Powders and capsules have lower moisture and are less hospitable to microbes, so they are less likely to develop an L-carnitine smell under normal use

This aligns with the Salehpour studys 12-week measurement point
