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Pregnancy and lactation: Avoid use during pregnancy or breastfeeding unless controlled human data show safety
The role of site rotation Injecting repeatedly in the same area can irritate tissue, causing both bruising and small lumps (lipohypertrophy) that reduce absorption
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Discuss with your endocrinologist If you have a seizure history: high-dose L-carnitine has been associated with increased seizure frequency in susceptible individuals in rare reports A 2013 Cleveland Clinic study raised concern about gut bacteria converting L-carnitine to TMAO (trimethylamine N-oxide), a compound associated with cardiovascular risk
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