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The bottom line on human data: promising signals, no randomized controlled trials, and no long-term safety data in humans

Our approach includes advanced IV therapy and lab testing

doi: 10.1016/j.jep.2012.10.045

In addition, smoking further exacerbates endothelial dysfunction in individuals with hypertension, diabetes, dyslipidemia, and other coronary risk factors [45]

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In addition, when circulating L-carnitine concentration increases, as in the case of oral supplementation, renal reabsorption of L-carnitine may become saturated, resulting in increased urinary excretion of L-carnitine (5)