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Namun, penggunaan jangka panjang sebaiknya tetap dipantau, terutama bagi individu dengan kondisi medis tertentu

some case reports suggest a possible interaction that may affect anticoagulant activity, and closer INR monitoring may be warranted if use is considered appropriate L-carnitine supplements are not a substitute for a balanced diet or structured physical activity

Oct-Dec 2004;25(5-6):455-73

However, while carnitine's role in fat metabolism is well established, its effectiveness as a weight loss supplement is not yet cemented

Furthermore, LD significantly increased cholesterol content and decreased bile acid and phospholipid concentrations in bile, resulting in an elevated CSI