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Gut microbes can use carnitine and acylcarnitine as carbon sources, nitrogen sources, osmotic protectants or electron acceptors, but the gut microbiota cannot synthesize carnitine itself, and the mitochondrial function of acylcarnitine produced by carnitine palmitoyltransferase has not been observed in prokaryotes [230]

The nausea may have a different primary cause, such as acid reflux, gastroparesis, or a food sensitivity unrelated to the medication

Oral administration produced a slower but still significant effect, confirming the promise of this approach for chronic therapy (Xu et al., 2017)

Marino, S., Hogue, I

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Don't store it on the refrigerator door, where temperatures fluctuate the most