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Side Effects In a safety study on L-Carnitine L-Tartrate (LCLT) , 21 healthy men were administered 3 g daily for a span of 3 weeksthe results finding that LCLT had no adverse effects on metabolic and hematological safety variables in normally healthy men. Thus, for the most part, Carnitine (or at least LCLT) seems SAFE at a reasonable dosage

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This significantly decreases liver sensitivity for growth hormone (LSG)

This preferential fat-over-muscle regain is what drives the bottom-right box in your diagram sarcopenic obesity.