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A research paper from 2016 notes that[8]: Even though carnitine is present primarily in animal products, strict vegetarians (vegans) and lacto-ovo-vegetarians maintain normal carnitine levels, indicating that humans not only synthesize carnitine, but also effectively conserve it through renal tubular reabsorption. In other words, even individuals that dont consume considerable amounts (or even adequate amounts) of dietary carnitine are able to maintain normal levels of carnitine, making the necessity or utility of l-carnitine supplements not necessary

These models focus on providing access to the medication itself, paired with medical supervision, without involving the insurance companies directly

Waniek S, di Giuseppe R, Esatbeyoglu T, et al

Evidence is primarily anecdotal (case reports)