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The answer depends on the study, dose, population, treatment length, and whether the medication is approved or investigational

[DOI] [PubMed] [Google Scholar] Anderson B

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This introduces an additional concern

Uptake of L-carnitine is mediated by ATP-dependent ABC transport system ProU and to a lesser extent by ProP, a major facilitator superfamily (MFS) proton-metabolite symporter accepting proline, glycine betaine, stachydrine, pipecolic acid, ectoine, taurine, and L-carnitine (Verheul et al., 1998)

It also plays a role in certain behaviors