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Name: l carnitine can cause kidney or liver damage History of L-carnitine: Implications for renal disease Carnitine Deficiency: What Is It,
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Ferrell M, Bazeley P, Wang Z, Levison BS, Li XS, Jia X, et al

Additionally, lactyl-CoA, identified in mammalian cells and tissues via liquid chromatography-mass spectrometry, acts as the substrate for enzymatic lactylation