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Instead of retaining carnitine, your kidneys constantly waste it, flushing it out in your urine

Hepatology 38(1):244251

The pooled standard mean difference (SMD) was obtained by applying a random-effects model, and subgroup analyses and meta-regression were employed to explain the heterogeneity

J Clin Investig 107:135142 Yang Y, Liu Z, Chen J, Wang X, Jiao Z, Wang Z (2024) Factors influencing methotrexate pharmacokinetics highlight the need for individualized dose adjustment: a systematic review