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Although several factors, such as insulin resistance, abnormal protein metabolism, and uremic toxins, have been involved in the loss of skeletal muscle mass in HD patients [12, 13], several reports suggest that muscle atrophy is attributed to carnitine deficiency in HD patients [14, 15]

L-Carnitine is an amino acid derivative that plays a key role in transporting fatty acids into the mitochondria, where they are converted into energy

Sexual dysfunction, affecting both men and women, is often overlooked but significantly impacts quality of life

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In general, though, only lysine is likely to be a concern for most vegans because almost all vegans naturally eat plenty of foods high in methionine

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