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Certainly, there are people who have been identified with L-carnitine deficiency, often due to transporter issues (difficulty getting L-carnitine into cells, or absorbing it from the diet)

Zignego A, Ferri C, Giannelli F, Giannini C, Marrocchi M, Monti M, Caini P, La Villa G, Laffi G & Gentilini P (2002) Prevalence of bcl-2 rearrangement in hepatitis C virus-related mixed cryoglobulinemia with or without complicating B cell lymphoma

PMID: 11932905

Cancer Chemother Pharmacol 82(5):757-766, 2018

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