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There are several medical problems that can result in secondary carnitine deficiency, such as liver disease and kidney disease, but it may also be due to poor diet
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For example, a study by the NCBI concluded that early treatment with L-Carnitine after myocardial infarction and continued therapy for 12 months could lessen left ventricular dilation in the first 12 months after infarction

Larger and more comprehensive studies are needed to confirm whether L-carnitine has the beneficial effects observed in these small-scale studies in patients with NAFLD
