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As of January 2026, over 3,063 cases are pending in this MDL, and that number continues to grow every month

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These discrepancies may be explained by the hypothesis that L-carnitine supplementation accompanied by high amounts of carbohydrate intake increases skeletal muscle OCTN2 expression through an insulin-mediated mechanism, thereby increasing skeletal muscle carnitine content [28, 29]

The company allegedly labeled the API as manufactured at its facility, implying it was made at a plant on the green list, and shipped the batch to the U.S