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However, since the clinical trial combines several active ingredients with complementary properties, it is difficult to attribute the observed benefits specifically to L-carnitine

It is also available without a prescription as a nutritional supplement

Horneber M, Fischer I, Dimeo F, Ruffer JU, Weis J

Similar caution extends to patients on potassium-sparing diuretics, aldosterone antagonists, or angiotensin-receptor blockers, all of which blunt renal potassium excretion

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Nouri E, Karimi SA, Raoufi S, Zarei M (2022) Protective effects of L-carnitine against valproic acid-induced memory impairment and anxiety-like behavior in adult rat