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Fagher B, Thysell H, Nilsson-Ehle P et al (1982) The effect of D, L-carnitine supplementation on muscle metabolism, neuropathy, cardiac and hepatic function in hemodialysis patients

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A prespecified analysis found the kidney effect to be directionally consistent regardless of baseline SGLT2i use, with no significant treatment-by-subgroup interaction, although only a small minority of participants were taking an SGLT2i at entry, so the combination subgroup was underpowered and does not by itself establish additive benefit

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