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Finally, the use of L-carnitine (10-20 mg/kg body weight given as a slow bolus injection) is approved by the US FDA to treat L-carnitine deficiency in subjects with ESRD undergoing hemodialysis (76)

it can be obtained from food, additives, and dietary supplements

Those can include: Renal complications such as kidney stones Blood glucose dysregulation Irritability The issue of insulin resistance and glucose dysregulation is fraught with contradictions in the research, with some papers asserting that exogenous BCAAs could be a cause for insulin resistance and others claiming that genetic predisposition to diabetes and dysfunctional BCAA metabolism exist in parallel but lack a causal relationship

A zinc intake low enough to impact wound healing also seems likely, but wasnt measured in Passo et al.s review