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Notably, a marginal increase in risk (RR 1.34, 95% CI 1.04, 1.72) was observed in studies with methodological flaws 41

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These are rare at the doses used in supervised clinical care and when they occur, they're typically mild and transient

However, theyre relatively expensive and must be administered by a healthcare professional

Health threats resulting from the explosion of counterfeit drugs are well documented [Reference Blumenberg, Hughes, Reckers, Ellison and Gerona15] and fueled in part by illegitimate access through the internet [Reference Michael White16]

Liquid L-carnitine supplements are much more easily absorbed