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NSAIDs, like ibuprofen, for instance, cannot be used for long periods of time because they increase gastric bleeding as well as the risk for heart attack

Approximately 75% of bodily carnitine derives from dietary sources, particularly red meat and dairy products, while the remaining 25% is synthesized endogenously (12, 13)

The condition can lead to heart disease, stroke, type 2 diabetes and certain types of cancer, according to the Centers for Disease Control and Prevention

Pharmaceutical references and community sources describe this as the standard that requires no refrigeration and maintains the full manufacturer-printed shelf life