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[6] The review included 11 clinical trials in a total of 251 well-trained athletes who took 1 to 4 grams L-carnitine or placebo a single time or once or twice daily for up to 6 months

Its effect on an empty stomach is limited

Recalls & Warnings October 08, 2015 FDA Warns Seller of Omega-3 "Concussion" Supplement for Drug Claims On October 1, 2015, the FDA issued a warning letter to MPH Nutrition, LLC, following a review of the company's website which found statements made about Re:Mind Recover, a supplement promoted for recovery from concussions, to be drug claims which are not permitted for supplements

L-carnitine serves as a precursor for palmitoyl-carnitine, a significant constituent of pulmonary surfactantthe essential lipoprotein complex crucial for maintaining alveolar stability and preventing atelectasis (71, 72)

reviewed in Pierre and Pellerin, 2005
