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Because these reactions were reported voluntarily from a population of uncertain size, it is not always possible to estimate their frequency, reliability, or to establish a causal relationship to drug exposure

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Springer: 941967

It needs to be combined with exercise and diet control

Three main benefits are suggested by research: potential weight loss support through increased calorie expenditure, improved exercise performance and recovery through reduced muscle damage markers, and heart health support with one systematic review associating carnitine with a 27% reduction in all-cause mortality