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Specifically, elevated levels of medium- and long-chain acylcarnitines correlate strongly with declining renal function and increasing proteinuria, while late-stage disease is marked by depletion of free carnitine, reflecting progressive metabolic dysregulation [17,18,19]

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Those with diabetes and those with obesity might have a different risk profile for these complications

Int J Pharm 1999

This increases oxidative deamination of amino acids, generating ammonium, which is mostly transformed into urea ( Madsen, 1983 )

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