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Consistency is more important than exact timing the effect of L-Carnitine will manifest itself within a few weeks, not immediately after the first dose

Both groups followed a calorie-reduced diet and performed moderate exercise

Generally yes at typical doses (up to 23 g/day), but some people experience stomach upset or a fishy odour

some case reports suggest a possible interaction that may affect anticoagulant activity, and closer INR monitoring may be warranted if use is considered appropriate L-carnitine supplements are not a substitute for a balanced diet or structured physical activity