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Note: An Expression of Concern has been issued for this paper (PMID 34551989, 2021)

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She is also a former Denver Post food writer.

Based on preclinical studies, it has been suggested that L-carnitine supplementation could limit the imbalance between protein anabolism (synthesis) and catabolism (degradation) that leads to skeletal muscle wasting (42)

While gastroparesis raises concerns, no confirmed increased aspiration risk has been established

That said, inconsistencies in dosing can lead to underwhelming results or mild systemic side effects such as headaches or nasal irritationparticularly in compounded or off-label versions