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D-Carnitine: This form is toxic to the body as it can hinder the absorption of other carnitine forms, thereby causing a carnitine deficiency

L-Carnitine is not a conventional fat burner, which speeds up metabolism, but rather helps the body use the fat it already has more efficiently

(2000) found no effect of 2 g/day L-carnitine for 8 weeks in obese women [7][62]

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Oral l-carnitine: metabolite formation and hemodialysis

Considering the above, an effective way of avoiding the exposure of the gut microbiota to acetyl-l-carnitine is its parenteral administration