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Some cancer patients have low blood levels of L-carnitine, which might reduce energy and lead to fatigue

10.1038/nrgastro.2017.109 87 YounossiZ

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The mRNA expressions of PECK1 and G6Pa , which are key gluconeogenesis-related genes, were significantly upregulated by dietary L-carnitine in the liver, but did not change in the muscle (Fig