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Description
Quick answer: Skip L-carnitine if you expect it to replace a calorie deficit, if you are pregnant or breastfeeding without medical guidance, if you have seizure history, kidney disease, cardiovascular risk concerns, hypothyroidism concerns, or if you are on medications that make supplement use a clinician-level decision
Here are the precautions to know

doi: 10.1016/j.fertnstert.2004.10.010
Participation of the mitochondrial aspartate/glutamate gene SLC25A12 was not confirmed in mitochondrial dysfunction connected with ASD

It works best when combined with a balanced diet, regular exercise and healthy sleep habits to support overall wellbeing [1]

This transport protein is known as the sodium dependent organic cation transporter or OCTN2
