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Renal disease / dialysis: Individuals on dialysis should not take carnitine without physician supervision [7]

The safety of using GHSs over the short and long term is According to a 2017 review, common side effects of using GHS may include: increased appetite elevated blood sugar levels fluid retention GHSs may also decrease the bodys sensitivity to the hormone insulin, making it more difficult to regulate blood sugar levels

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Informed consent was obtained from the patients, and the study protocol was approved by the Ethics Committee of the Second Affiliated Hospital, Zhejiang University School of Medicine (Permit number: 2024-1360)

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