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Conclusion L-carnitine + synbiotic co-supplementation was more beneficial in ameliorating anthropometric indices as well as some cardiometabolic parameters compared with L-carnitine single therapy, suggesting that it is a promising adjuvant approach to ameliorate obesity or associated metabolic complications through potential synergistic or complementary mechanisms

Carnitine levels below 20 mol/l indicate carnitine deficiency and require genetic screening to confirm mutations in related genes for differential diagnosis [5]

10.1007/s12011-017-0944-z 2 AlmannaiM.AlfadhelM.El-HattabA

In immunosuppressed individuals, the symptoms are particularly severe and can be fatal