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Additionally, the long-term safety of high-dose L-carnitine use is not well-established , and there are ongoing debates about its potential risks
(2026), in the American Journal of Sports Medicine, stated this directly: indications, dosing, frequency, and duration of treatment remain unknown
J.BoudreauP
Psychiatry 31 , 231236 (2018)
As a spore-forming organism, it is shelf-stable without refrigeration and is designed to survive gastric acid, activating in the intestines where it produces butyrate
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