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It is in the chemical compound classes of -hydroxyacids and quaternary ammonium compounds, and because of the hydroxyl-substituent, it exists in two stereoisomers, the biologically active enantiomer L-carnitine, and the essentially biologically inactive D-carnitine.[bettersourceneeded] Both are available through chemical synthesis,[not verified in body] and the L-form is continuously biosynthesized in eukaryotic organisms from the proteinogenic amino acids lysine and methionine

It is important to note that headaches typically emerge during the initial weeks of treatment or following dose escalation

J., Kim, S

Impure or degraded product will not produce clinical trial-level results regardless of dose or protocol