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doi: 10.1152/ajpendo.00096.2014 43

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02 Prepare your supplies Lay out one BAC water vial, one syringe for reconstitution, one syringe for the dose, and at least two alcohol swabs

Quick answer: Skip L-carnitine if you expect it to replace a calorie deficit, if you are pregnant or breastfeeding without medical guidance, if you have seizure history, kidney disease, cardiovascular risk concerns, hypothyroidism concerns, or if you are on medications that make supplement use a clinician-level decision