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In low-to-middle-income regions, such as Mexico, the widespread availability of reagent strip tests for urinary protein has also been pinpointed as an alternative to measure albuminuria

[4] This is supported by a study of resistance-trained athletes showing that 2g per day of l-carnitine l-tartrate may have helped increase oxygen delivery into the muscle cells themselves

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Patients with renal insufficiency: Patients with severe renal impairment should not be treated with chronic oral administration of high doses of levocarnitine because it can induce an accumulation of the potentially toxic metabolites trimethylamine (TMA) and trimethylamine-N-oxide