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Plasma concentrations measure around 200 ng/mL at age 20 and drop to roughly 80 ng/mL by age 60 a decline of more than 60%

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Eur Respir Soc De Benedetto F, Pastorelli R, Ferrario M, de Blasio F, Marinari S, Brunelli L, Wouters EF, Polverino F, Celli BR (2018) Supplementation with Qter and Creatine improves functional performance in COPD patients on long term oxygen therapy

Lack of carnitine can lead to numerous adverse effects

Once toxicant burden is identified, the clinical roadmap shifts toward detoxification and immune modulation