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If your kidney function drops below a certain level, Farxiga becomes less effective at lowering blood sugar, though it may still provide cardiovascular and kidney protective benefits
Because L-carnitine is known to be an essential co-factor in fatty acid and energy metabolism, and patients on dialysis tend to be malnourished, it might follow that repletion of L-carnitine by the intravenous or oral route could improve nutritional status, particularly among patients with low dietary L-carnitine intakes
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