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Go for a walk or do some arm exercises with small dumbbells," Dr

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If dosing is too high or continuous without breaks, the body will downregulate its own endogenous pathways and could become dependent or have blunted natural hormone production

In a study out of Australia published in the International Journal of Sports Nutrition and Exercise Metabolism , for instance, 36 obese women took either L-carnitine or a placebo and completed eight weeks of aerobic training

De Luigi AJ, Blatz D, Karam C, Gustin Z, Gordon A

Recommended protocol: Washout: 25 to 30 days Starting dose: 2mg weekly Week 5: escalate to 4mg Week 9: escalate to 8mg Week 13: escalate to 12mg based on response This accelerated schedule saves 4 weeks compared to the standard titration