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After treatment with L-carnitine, seven patients in the treatment group showed noticeable reductions in their need for recombinant human erythropoietin and were labelled as “responders”, while six patients showed no change and were considered “nonresponders.” Although responders had higher average erythropoietin needs and higher endogenous erythropoietin levels at the beginning of the study compared to nonresponders, these differences were not statistically significant