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While humans naturally synthesize carnitine in the liver and absorb it from dietary sources like red meat, oral supplements face a significant absorption hurdle in the highly acidic gastrointestinal tract

Bohles H, Sewell AC, Wenzel D

It is classified as a cosmetic product rather than a medical device or pharmaceutical, which subjects it to less stringent oversight

However, the preponderance of extant evidence derives from animal models and preclinical studies, which may not fully capture the complexity of human disease

During a loading phase of 10 units five times weekly 50 units per week a single vial covers roughly four weeks