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Study aim
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Effect of L-carnitine on the metabolites of 24-hour urine in patients with a history of recurrent stone formation
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Design
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Phase 2 clinical trial, No control group,No blinding , Sample size of 30 patients
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Settings and conduct
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Place of study: Urology clinic of Golestan Hospital in Ahwaz .
24-hour urine-related markers (including calcium, oxalate, uric acid and citrate) before treatment is recorded. Patients are then followed for 2 weeks without drug treatment and on a regular diet. At the end of two weeks, the 24-hour urine is collected again and assessed for calcium, oxalate, uric acid and citrate. They are treated with only L-carnitine at a dose of 1 g daily. During the course of treatment with L-carnitine, the patients' diet was monitored for similarity to the first two weeks of follow-up.At the end of the eighth week, 24-hour urine is collected and evaluated for calcium, oxalate, uric acid, and citrate.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria include patients with a history of renal stone passage and patients undergoing surgical or non-surgical(extracorporal shock wave lithotripsy) surgery for kidney stones or ureteral stones.Exclusion criteria include patients who first have kidney stones and patients with anatomical disorders (ureteral stenosis) , patients with endocrine disorders including hyperparathyroidism, diabetes, metabolic syndrome, cystinorrhoea, and patients who have undergone drug therapy other than l-carnitine for kidney or ureteral stone
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Intervention groups
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Patients with a history of recurrent stone formation that treated with vial L-carnitine for one gram daily for eight weeks
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Main outcome variables
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24-hour urine calcium, 24-hour urine uric acid, 24-hour urine oxalate and 24-hour urine citrate