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In its report, PBAC noted the modelled benefits were highly uncertain, and the listing would not be cost-effective at the requested price

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best used with training and diet adherence GI upset in sensitive individualstake with meals or split doses to minimize stomach discomfort Individual variation in response: vegetarians or those with naturally low carnitine status respond better than omnivores Fatigue and dizziness in some individuals during extended cuts, potentially exacerbated by L-carnitine supplementation at high doses Cost relative to benefit is moderate