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Nevertheless, the prudent approach is simple: perform a baseline INR and recheck within one to two weeks of starting L-carnitine

"Pantothenic acid - a scoping review for Nordic Nutrition Recommendations 2023." Food & nutrition research , 2023

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L-carnitine is formed through the splitting-off of the acetyl group, which is responsible for the transport of long-chain fatty acids into the mitochondria, where it is utilized for the production of energy (ATP)