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Early research suggests that L-carnitine might reduce irregular heartbeat

I think a lot of physicians, as well as the public, would make recommendations to patients to just eat better and do some exercise, and that is really an unhelpful prescription for patients with obesity, Harris said

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Matsuda and coworkers [45] demonstrated a considerable reduction in serum free carnitine concentration in five patients with hyperammonaemia associated with VPA therapy (of whom three had a Reye-like syndrome)

If berberine slows down these enzymes, it could potentially change how your body processes other medications you are taking, leading to higher levels of those drugs in your system