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Doctors usually recommend a dosage between 6001200 mg, given twice a week

In contrast, creatine is present in a very low amount in a vegetarian diet

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Merriam GR, Schwartz RS, Vitiello MV

Chronic administration of high doses of oral levocarnitine in patients with severely compromised renal function or in ESRD patients on dialysis may result in accumulation of the potentially toxic metabolites, trimethylamine, and trimethylamine-N-oxide, since these metabolites are normally excreted in the urine