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However, observational studies are open to residual confounding, such as by socioeconomic position and health status, and cannot distinguish whether l-carnitine is a biomarker or a causal factor, making them difficult to use as a guide to interventions [17]

doi: 10.1046/J.1365-2222.1999.00661.X 152 TsuboiHKoudaKTakeuchiHTakigawaMMasamotoYTakeuchiMet al

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Repeat if necessary