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It does not replace a meal or a balanced diet, but it can be a simple daily marker within a routine that includes regular physical activity

doi: 10.3390/ijms21082890 55 GryaznovaM.DvoretskayaY.BurakovaI.SyromyatnikovM.PopovE.KokinaA.et al

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These synthetic forms are not biologically active in the same way as the natural L-isomer and can actually competitively inhibit the absorption and utilization of naturally occurring L-carnitine, potentially inducing a state of carnitine deficiency and worsening fatigue symptoms

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