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The 2.5mg starting dose is not considered therapeutic for weight loss

de Boer SA, Heerspink HJL, Jurez Orozco LE, van Roon AM, Kamphuisen PW, Smit AJ, et al

While the efficacy of Levocarnitine to increase carnitine concentrations in patients with ESRD undergoing dialysis has been demonstrated, the effects of supplemental carnitine on the signs and symptoms of carnitine deficiency and on clinical outcomes in this population have not been determined