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Speak to a Clinician Before Starting Either Form If You have kidney disease or are on dialysis, where carnitine handling changes You take warfarin, because carnitine has been reported to affect its action You have a seizure disorder, which is 1 of the standard label cautions You have an underactive thyroid, since carnitine may blunt thyroid hormone action You are pregnant or breastfeeding, where the trials give no guidance Frequently Asked Questions What is the difference between L-carnitine and acetyl-L-carnitine

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