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It is also the most common form of carnitine in supplements

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However, patient convenience limitations inherent to hospital-based care models and geographic access barriers for rural patients have constrained hospital pharmacy market share growth relative to alternative channels

doi:10.1038/ajh.2008.271 Omori Y, Ohtani T, Sakata Y et al (2012) l-carnitine prevents the development of ventricular fibrosis and heart failure with preserved ejection fraction in hypertensive heart disease