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Thus, additional work is required to evaluate the superiority, efficacy, and safety of intravenous levocarnitine administration compared with oral administration because there is no evidence of associations between the increased levels of TMAO and atherosclerosis progression in dialysis patients

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This disease spectrum ranges from isolated lipid deposition within hepatocytes through metabolic dysfunction-associated steatohepatitis (MASH), potentially advancing toward cirrhotic transformation, hepatic functional deterioration, and malignant hepatocellular transformation