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Who May Need Extra Caution Extra caution may be needed for patients who are pregnant or trying to become pregnant, have active cancer or a cancer history requiring specialist input, have autoimmune disease, have clotting concerns, use immune-modifying medication, have uncontrolled diabetes, have significant kidney or liver disease, or are scheduled for surgery

They may not be suitable for everyone, so a medical consultation is necessary

L-carnitine is an amino acid-like cofactor that seems to have a positive effect on the heart muscles

For example, hypoglycaemia, which is caused by an excess of insulin, is a limiting factor in near-to-normal control of hyperglycaemia [80, 81], and is a significant cause of morbidity and mortality [82]