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At normal or low glucose levels, the peptides do not trigger insulin release

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Psychiatry 26 , 25772589 (2021)

Discuss with your endocrinologist If you have a seizure history: high-dose L-carnitine has been associated with increased seizure frequency in susceptible individuals in rare reports A 2013 Cleveland Clinic study raised concern about gut bacteria converting L-carnitine to TMAO (trimethylamine N-oxide), a compound associated with cardiovascular risk