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Furthermore, studies suggest that supplementation with L-carnitine may reduce liver fat and the liver enzymes alanine aminotransferase (ALT) and aspartate transaminase (AST) in patients with Non-Alcoholic Fatty Liver Disease (NAFLD)

International Society of Sports Nutrition

but these negative effects were not seen with light- and moderate-intensity exercise or when exercise occurred two to four hours before bedtime
An alarming sign is the development of new bruises with no obvious reason

What is Keto Rash

Critical when you're titrating research doses based on physiological response
