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Do not use if you have primary systemic carnitine deficiency or secondary carnitine deficiency (inborn errors of metabolism) for which levocarnitine supplementation is prescribed and/or monitored by a health-care practitioner

Chin J Intern Med 61:13

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Feces from donor mice treated with metformin were transplanted into recipient mice, and results showed altered gut microbiota and improved glucose tolerance in the recipient mice (92)

Sprouts, beans, lentils, and Brazil nuts can provide the essential L-carnitine supply on a vegan diet

[PubMed] [Google Scholar] 315.Kuo T, McQueen A, Chen T-C, et al