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Cell Tissue Research

Higher thyroid hormone levels resulted in higher levels of carnitine being excreted in the urine

L-carnitine supplementation reduced the levels of ammonia in patients with cirrhosis with physiological blood carnitine levels (34), suggesting that increased quantities of carnitine is required for patients with cirrhosis compared with the healthy individuals, and that patients may have exhibited a relative carnitine deficiency

It also depends on how well the body absorbs it

De Falco FA, D'Angelo E, Grimaldi G

Psychiatric and nonpsychiatric medical comorbidities are common in patients and might also contribute to increased mortality