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However, long-term use involves: Monitoring for side effects: Common side effects include nausea, diarrhea, and injection site reactions

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The dosage may vary by the type of L-carnitine supplement, however

On the other hand, the heart uses fatty acid oxidation regularly, with 50-70% of energy coming from fatty acids.[ref] Other roles of carnitine in the mitochondria: In addition to transporting long-chain fatty acids into the cell, carnitine is also involved in moving certain metabolites out of the mitochondria