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Have a Body mass index (BMI) of 27+ and no known contraindications

Therefore, carnitine/acylcarnitine not only play roles in muscle energy metabolism but also participate in the whole-body energy balance and fatigue perception by affecting neuromuscular signaling, underscoring the potential importance of carnitine in exercise physiology, exercise recovery and performance improvement

A dose reduction or slower titration schedule may be necessary if exhaustion is disproportionate to your calorie deficit

doi: 10.1016/j.jconrel.2006.08.013, 203

Pardoll DM

When youre in the midst of an attack, you want to stop it as fast as possible