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Acceptable medical justifications include: Patient allergies to commercial formulation ingredients

Neuroprotective activity of acetyl-L-carnitine: studies in vitro J Neurosci Res 1994

Observed risks include malnutrition, specifically thiamine deficiency, metabolic acidosis, and hypomagnesemia

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Get your baseline sorted with a focus on: Beef and pork Chicken Fish Whole milk Cheese Tempeh* Avocado* *Plant-based sources contain much lower amounts , and the bodys ability to convert precursors like lysine and methionine into L-carnitine is limited and varies person to person