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Look out for: Feeling shaky or trembling, sweating, chills, dizziness, or lightheadedness Difficulty concentrating, confusion, irritability, or anxiety Extreme hunger Blurry vision or seeing spots Racing heartbeat or palpitations Remember, everyone is different, and what works for one person might not work for another

Journal of the European Academy of Dermatology and Venereology, 36 (2), 286-294

But outside of trials, this guidance often falls through the cracks

In individuals without an IEM, carnitine is naturally supplied primarily through consumption of meat, with the remainder produced by an endogenous synthesis pathway (Rebouche 2004)