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Table of Contents Introduction Living a vegan or vegetarian lifestyle offers numerous health benefits, but it also presents unique nutritional challenges

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These decouple because cold ischemia and isolation stress degrade function earlier than they compromise the membrane

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Dose adjustments should be guided by trough (pre-dialysis) levocarnitine concentrations, and downward dose adjustments (e.g., to 5 mg/kg after dialysis) may be made as early as the third or fourth week of therapy