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doi: 10.1038/ejcn.2014.250 202 Yurko-MauroKKralovecJBailey-HallESmebergVStarkJGSalemNJr

It is most commonly used in combination therapy because of its high incidence of adverse effects as monotherapy

But fish products and dairy products also contain L-carnitine

*Correspondence: Chih-Yuan Ko, [email protected] ORCID: Qiao-Wen Chen, orcid.org/0009-0008-5135-2627

Dose-response analysis indicates optimal benefits occur after approximately 50 weeks of continuous supplementation, suggesting long-term metabolic remodeling rather than acute effects