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In highly trained individuals with already optimized nutrition, the effects may be more subtle and mostly related to recovery or endurance rather than dramatic performance increases

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However, while it is generally safe for most people, if you experience side effects, are on medication, or have other health conditions, be sure to talk to your doctor

Hemodialysis removes more carnitine in the free than esterified form, resulting in decreased free carnitine in the serum (Figure 1)

Yamazaki H, Fujita H, Gunji T, Zhang J, Kamataki T, Cashman JR, Shimizu M
