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Pilot RCTs in relapsing MS report modest EDSS improvement and lower corticosteroid need, suggesting that simultaneous enhancement of oxidative phosphorylation, NAD + cycling and membrane repair may decelerate disability accrual (41, 84)

This may in part be because gut bacteria metabolise l-carnitine into a compound called trimethylamine-N-oxide (TMAO), which is known to cause furring of the arteries and potentially lead to atherosclerosis Thyroid function: taking l-carnitine as a supplement can make the symptoms of a low-functioning thyroid worse Muscle weakness and seizures: high amounts of l-carnitine may cause muscle weakness in those with chronic kidney disease and may increase the risk of seizures in those with seizure-related disorders Food sources of carnitine There are many natural food sources of carnitine

James Watson, well-known 1962 Nobel Laureate [246], more recently [247] expressed his concerns about the potential risks associated with the use of antioxidant therapy in promoting cancer progression

The glycine half is a bonus, not just a carrier

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doi: 10.1124/dmd.113.053082