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Its been widely studied and has received support from reputable organizations such as the Journal of the International Society of Sports Nutrition (ISSN), Academy of Nutrition and Dietetics, and American College of Sports Medicine, among others

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Drug interactions Pivalic acid combines with L-carnitine and is excreted in the urine as pivaloylcarnitine, thereby increasing L-carnitine losses (see also Secondary carnitine deficiency)