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D-Carnitine and DL-Carnitine are not recommended because of their adverse physical side effects

However, genetic or medical reasons can cause some people produce too little

Pivalate-generating prodrugs and carnitine homeostasis in man

[Google Scholar] 25.L-carnitine infusions may suppress serum C-reactive protein and improve nutritional status in maintenance hemodialysis patients

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In recent years there has been considerable interest in the therapeutic potential of L-carnitine and acetyl-L-carnitine (ALCAR) for neuroprotection [1, 4, 722]
