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These discrepancies may be explained by the hypothesis that L-carnitine supplementation accompanied by high amounts of carbohydrate intake increases skeletal muscle OCTN2 expression through an insulin-mediated mechanism, thereby increasing skeletal muscle carnitine content [28, 29]

Can vegans benefit more from L-carnitine

Systemic side effects are rare but include transient nausea (510% of patients, typically within the first hour post-injection) and allergic reactions to methylcobalamin or preservatives in compounded formulations

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