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Despite these encouraging findings, the evidence is fraught with inconsistencies and methodological limitations

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(In Italian) Clinica Terapeutica 1994

More severe reactions could include difficulty breathing, swelling of the face, lips, tongue, or throat, which would require immediate emergency medical treatment

Lower mitochondrial efficiency can influence energy production, muscle function, cognitive performance, and physical resilience over time

Moreover, considering that carnitine metabolism produces TMAO, which has been recently recognized as a novel risk factor for cardiovascular diseases, the use of uncontrolled amounts of carnitine as dietary supplements must be carefully reviewed. "Since carnitine is often used by athletes with no clear understanding of its effects and risks, it becomes critical to provide information about the characteristics of this compound and its probable harmful effects on health," the researchers said