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L-Carnitine can be taken with or without food, but taking it with meals may reduce the likelihood of nausea

Oral intake of L-carnitine during pregnancy should be assessed on a case-by-case basis with a physician

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Elife 7 Zhou Y, Wang Y, Zhang X, Bhar S, Jones Lipinski RA, Han J, Feng L, Butcher RA (2018) Biosynthetic tailoring of existing ascaroside pheromones alters their biological function in C elegans

If directed, take the capsule with food to enhance absorption and prevent stomach upset

Proton pumping by respiratory chain complexes I, III, and IV leads to the establishment of an electrochemical proton gradient across the inner mitochondrial membrane that can subsequently be used to synthesize ATP via the mitochondrial ATP synthase (complex V) or drive transmembrane transport processes directly