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NIH Office of Dietary Supplements

It gets me through my workouts

Supplementation may be contraindicated in hypothyroidism patients (Benvenga 2005)

A proof of the dynamic balancing of carnitine homeostasis derives from the observation that, under regular diet, patients carrying defects of the carnitine biosynthesis enzymes, do not apparently display carnitine deficiency, because the reduced synthesis is compensated by carnitine dietary intake and increased renal reabsorption (El-Hattab and Scaglia, 2015)