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Short answer: we dont have good evidence that theyre safe or effective - and we do have red flags

I first met Jane (not her real name, of course) on a Friday afternoon in our clinic

The concentrations of d9-carnitine and d9-TMAO in the samples were determined from the calibration curves using the peak area ratio of the analyte to its corresponding isotope internal standard

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#4: Go Low & Slow Ask your healthcare provider about starting with a low dose