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Secondary carnitine deficiency can be caused by increased losses, pharmacological therapy, a number of inherited metabolic disorders [38], poor diet or malabsorption of carnitine, from increased renal tubular loss of free carnitine (Fanconi syndrome), haemodialysis, peritoneal dialysis, or the increased excretion of acylcarnitines[39] with certain drugs

This fragment (amino acids 176191) is studied for its role in regulating metabolic pathways in vitro

The authors reported, based on their experience, that the effect of the chemotherapy was not interfered with, and may have been enhanced

People with Weakened Immune Systems: Those who have chronic illnesses, are undergoing chemotherapy, or are experiencing high levels of stress may have compromised immune systems