l-carnitine kidney biosynthesis. L-carnitine can be partly provided by an Carnitine Deficiency in Chronic Kidney
Description
doi:10.1002/14651858.CD010012.pub2

Some patients with fatigue and cognitive disorders have a resistance to the metabolism of choline that is similar to the mechanism found in insulin resistance

Dzenli U, Altun Z, Olgun Y, Akta S, Pamukolu A, etinayak HO, et al

MatchIt: nonparametric preprocessing for parametric causal inference

Racemic D,L-carnitine can be produced chemically from cheap epichlorohydrin and trimethylamine (Kabat et al., 1997), but to obtain enantiomerically pure L-carnitine, either chiral resolution or stereospecific synthesis is required
