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Interactions with medications L-carnitine may interact with some medications, such as anticoagulants , antihypertensives or thyroid medications

Norwitz says. However, if someone experiences symptoms like fatigue, dizziness, muscle cramps, or persistent vomiting especially in the context of dietary changes that lower electrolyte intake they should consider targeted electrolyte replacement, he adds

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Our experience shows that starting at the lower end of this range (e.g., 250-500mcg) is a prudent approach to establish a baseline response before titrating upwards if the study parameters require it