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Levocarnitine was not bound to plasma protein or albumin when tested at any concentration or with any species including the human.9In a 9-week study, 12 ESRD patients undergoing hemodialysis for at least 6 months received levocarnitine 20 mg/kg three times per week after dialysis

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IV and liposomal can bypass the breakdown that may occur in digestion, which is why some recommend them more than oral supplementation