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Fagher et al 304 conducted a 6-week, randomized placebo-controlled trial in 28 hemodialysis patients, who received either 2 g IV of L-carnitine or placebo after each hemodialysis session

Because this study was observational rather than a randomized clinical trial, were a lot more worried that what we are seeing might be confounding rather than a true causal effect

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H., & Yang, B.-G

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