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Low levels of carnitine in the body may indicate a deficiency, which can be caused by a genetic disorder affecting carnitine uptake or by certain medications or underlying conditions

10.1016/j.cell.2011.02.004 50 PerakakisN.TriantafyllouG

Probiotic therapy of COVID-19 patients with a combination of nine different lactobacilli strains (as daily dose), showed significant alterations in gut microbiota, partial restoration of pulmonary dysfunction as well as intestinal dysbiosis

Insufficient dosing is the most common culprit

But for the transportation gap the products can be damaged, oxidized or even can be mixed with duplicate by the fraud suppliers in rare cases

Research designs for agents that poison single enzymes make little sense when studying nutrients