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It is this metabolite that exerts the toxic effect on the liver
Bariatric surgery and obstructive sleep apnea: a systematic review and meta-analysis
Res 72 , 603612 (2003)
& D'Alessio, D
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In no study were any serious adverse actions reported, and all forms of carnitine, whether l-carnitine/levocarnitine, acetyl l-carnitine, or l-carnitine l-tartrate, showed benefits at 2-4g per day
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