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Since the heart cannot produce carnitine [284], it relies on uptake from the circulation [285], which explains the cause of cardiomyopathy in patients with primary carnitine deficiency

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The established urinary threshold level of 150 g/mL may be reached (rarely, but possibly) in some individuals within 6-20 hours of taking some long-acting therapeutic formulations

doi: 10.3390/molecules26113203 67 SabahiSHomayouni RadAAghebati-MalekiLSangtarashNOzmaMAKarimiAet al

Alisma orientalis beverage, a Chinese traditional medicine formulated with a diversity of medicinal plants, reportedly has similar effects to berberine (102)