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Additionally, high doses of L-carnitine may interact with thyroid hormone replacement therapies

[DOI] [PubMed] [Google Scholar] Arsenian MA

That microbiome context may influence how much TMAO you produce after carnitine
These tests involved progressively increasing the workload, starting at 60 watts with a 15-W increment every minute, continuing until participants reached their physical limits

However, the relatively low number of publications describing these parameters implies some moderation

(Nian et al
