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Notably, the enantiomer D-carnitine may exert hepatotoxic effects (89), underscoring the critical importance of compound-specific safety evaluation and reinforcing that only the biologically active L-isomer should be considered for therapeutic use in MASLD

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That's a significant oversight, because the organ that may benefit most from creatine isn't the one you're training on leg day

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Because ALCAR can interact with thyroid medications, blood thinners, and glucose metabolism, it is imperative to consult with a healthcare provider who understands the nuances of complex chronic illness before adding it to your regimen