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One of the most important compounds for carnitine is Vitamin C, as its synthesis involves different vitamin C-dependent enzymes and its deficiency has a very negative effect on L-carnitine synthesis in the body

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Because dialysis patient plasma free levocarnitine level can be starkly lower than normal person's level, the patient of dialysis more than 2 years all the levocarnitine deficiency disease can occur.Levocarnitine lacks can influence the oxidation of mitochondrion to free fatty, causes energy metabolism impairment, simultaneously, and owing to S-acetyl-coenzyme-A gathers at mitochondrion, but the effect of pair cell toxigenicity.Its clinical manifestation is hypotension, muscular spasm, cardiomyopathy, arrhythmia and the reduction of dialysis toleration etc., has a strong impact on patient's quality of life and secular survival rate, so it is very important to replenish levocarnitine