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Peer review Peer review information Nature Reviews Nephrology thanks Mark Cooper, Francesco Giorgino and the other, anonymous, reviewer(s) for their contribution to the peer review of this work

Can be used with any medication or supplement

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By optimizing aerobic energy production, L-Carnitine Fumarate helps prevent the rapid accumulation of lactic acid in the muscles during minimal exertion, thereby raising the patient's threshold for physical and cognitive activity before a "crash" occurs