Do not use if you have primary systemic L-carnitine deficiency or secondary L-carnitine deficiency (inborn errors of metabolism) for which levocarnitine supplementation is prescribed and/or monitored by a healthcare practitioner
I have since used the second one that was in the car to use it up (also no ill effects) and have replaced them with in-date ones for future emergency use
When disorders of fatty acid -oxidation metabolism and abnormalities of branched-chain amino acid metabolism occur, characteristic alterations of one or more acyl carnitines occur
And none of them are doing it for fun
[12] [13] Foods and beverages to avoid include: Spicy or heavily seasoned dishes Acidic foods (citrus, tomatoes) that may irritate the stomach Carbonated beverages, which increase gastric distension Alcohol, which can worsen nausea and interfere with blood glucose control Very hot or very cold foods, which some patients report as triggers Protein-forward meals with moderate carbohydrates and low fat content help maintain stable blood glucose levels while minimizing nausea
Both of these effects can impair vitamin B12 absorption
