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Also, the lack of L-carnitine leads to fatigue and exhaustion

To optimize effective absorption, patients are required to adhere to complicated dosing conditions of taking the drug in a fasting state (at least 30 minutes before any food intake) with no more than 4 ounces (approximately 120 mL) of plain water

[5] They appear to increase muscle growth by increasing the size of already present muscle cells and the number of muscle fibers

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Cattle, horses, sheep and swine dosage: 1 to 2 ml