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For most healthy adults, ongoing use under proper guidance is considered manageable, though anyone with liver, kidney, or autoimmune concerns should check with a provider first
Toxicology assessments in rats found no organ toxicity at doses up to 10 mg/kg (approximately 1000x the effective dose), no mutagenicity in Ames testing, and no teratogenic effects
among all nutritional cofactors, vitamin C has the greatest impact on the rate of carnitine biosynthesis
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