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"Propionibacterium spp.-source of propionic acid, vitamin B12, and other metabolites important for the industry"
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[6] Caution is advised in patients with advanced renal impairment or those receiving dialysis, given the renal clearance of carnitine and the risk of accumulation
Sikiri says the risk is, in his words, "entirely excluded," based on a cell study from 2004
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