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Use of strong CYP3A4 inducers or moderate to strong CYP3A4 inhibitors, drugs that are sensitive P-gp or BCRP substrates, or drugs that are P-gp inducers or P-gp inhibitors

Performance enhancement: L-carnitine may also help increase physical performance by improving endurance and exercise tolerance

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To be effective, the supplement must be protected as it travels through the stomach

References: Heidenreich PA, Bozkurt B, Aguilar D, et al

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