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For instance, individuals with certain genetic conditions or those undergoing specific medical treatments may have impaired L-Carnitine synthesis or increased loss, necessitating supplementation

Eur Heart J 32(9):10651076 Li YD, Ji YT, Zhou XH, Li HL, Zhang HT, Xing Q, Hong YF, Tang BP (2015) TNNT2 gene polymorphisms are associated with susceptibility to idiopathic dilated cardiomyopathy in Kazak and Han Chinese

doi: 10.6061/clinics/2013(05)04

Though often successful in the short term, simplifying ecosystems can lead to ruinous long-term impacts, as shown in marine, forest, and rangeland systems (Gunderson et al., 1995)