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This is clinical education, not medical advice, and nothing here should be read as a treatment recommendation, a protocol, or dosing guidance

[8] L-carnitine has been reported to potentiate the anticoagulant effect of warfarin through unknown mechanisms, with case reports documenting supratherapeutic international normalized ratios after initiation of parenteral carnitine in malnourished adults

Journal of Atherosclerosis Research

It was originally derived from a protective protein found in the human stomach
D., Westfall, T
