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The team advised that patients should regularly check if they are consuming enough protein to preserve muscle, if they are deficient in essential nutrients like iron and magnesium, and if their body's detoxification capacity is being maintained

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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, and trimethylamine-N-oxide, since these metabolites are normally excreted in the urine

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