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Some people might experience mild symptoms like nausea, vomiting, and abdominal discomfort on taking L-Carnitine
If heart failure is a concern, I especially recommend taking L-Carnitine with other nutrients that support the heart, including CoQ10 (100-150 mg daily), magnesium (400-800 mg daily), and D-ribose (5 grams twice daily)

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[2] Choline chloride serves as an essential substrate for phosphatidylcholine and betaine formation, thereby enhancing bile-dependent lipid emulsification and acting as an osmolyte that maintains hepatocyte membrane integrity under oxidative stress

doi: 10.3390/nu17132145 92

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