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Centers for Disease Control and Prevention website

10.1053/j.gastro.2005.11.065 8

Pregnancy and breast-feeding : There is not enough reliable information about the safety of using L-carnitine if you are pregnant

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When Supplements Are Not Enough Signs of underlying medical conditions ED plus chest pain, breathlessness, leg pain with walking ED with numbness, nerve symptoms, or major stress symptoms ED with persistent low libido and fatigue When to Consider Medical Treatment If no meaningful improvement after 3-6 months of consistent effort, or if symptoms worsen

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