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Because ingestion of L-carnitine in the absence of carbohydrate and over at least a four month period will not increase muscle total L-carnitine content, said professor Greenhaff of the notoriously conservative institution that has also rejected the performance benefits of the likes of whey protein, probiotics and even, heavens to Murgatroyd, water

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Some patients report noticing subtle changes within the first one to two weeks of a consistent protocol, though individual experiences vary widely and no specific outcomes are guaranteed

So, doctors should watch B12 levels in patients on PPIs for a long time

PLoS One 9:e108382