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Therefore, the additional forms of carnitine and their respective actions are as follows: [2] D-Carnitine: This is an inactive form which can cause carnitine deficiency in your body, inhibiting the absorption of other, more useful forms

Limited data suggest vigilance for potential long-term effects like overgrowth, though rare in controlled animal studies

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The FDA approval process requires extensive Phase I-III clinical trials demonstrating safety, efficacy, pharmacokinetics, and quality manufacturing standards