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10.1093/gerona/glu057 J Gerontol A Biol Sci Med Sci

These indicate that oral L-carnitine for more than 14 days impairs spermatogenesis in mice, and sudden discontinuation of administration results in substantial death of established spermatogenic cell populations

Which one might suit you comes down to your health, your goals, and your personal circumstances, and thats best worked out with a doctor who can see the full picture

Some compounded formulations include B12 specifically to address this concern, which is why options like semaglutide with B12 and semaglutide with methylcobalamin have become popular