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Another study obtained similar data

Microbiology (Reading) 161:11611174 Naseri M, Mottaghi Moghadam Shahri H, Horri M, Esmaeeli M, Ghaneh Sherbaf F, Jahanshahi S et al (2016) Absolute and relative carnitine deficiency in patients on hemodialysis and peritoneal dialysis

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Discuss appropriate monitoring with your clinician if using for longevity-focused goals

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However, assessment of long-term, hard clinical kidney endpoints has been limited by the three- to fivefold higher risk of hyperkalaemia with spironolactone use [66]