function of l-carnitine in the body functions as a cofactor for long-chain fatty acids across L-Carnitine | Linus Pauling Institute
Description
CKD generally does not cause symptoms until the kidneys are severely damaged

[DOI] [PMC free article] [PubMed] [Google Scholar] 62.Davila-Roman VG, Vedala G, Herrero P, de las Fuentes L, Rogers JG, Kelly DP, Gropler RJ

Mol Metab

Carnitine supplementation does not appear to be harmful and could be beneficial in patients with VHT or hyperammonaemia, regardless of whether the exposure was acute, chronic, or both

L-carnitine plays a vital role in the -oxidation of long chain fatty acids (LCFAs) to produce energy by transporting LCFAs from the cytosol into the mitochondrial matrix, and can modulate the ratio of acetyl-CoA/CoA 3,4
Mitochondrial dysfunction has been implicated in the altered metabolic flexibility in such conditions (76, 77)