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A qualified buyer should confirm that the product page, COA, and label all refer to L-Carnitine 200mg and that the batch-specific COA supports the listed purity claim

Risk of Thyroid C-Cell Tumors: Patients should be referred to an endocrinologist for further evaluation if serum calcitonin is measured and found to be elevated or thyroid nodules are noted on physical examination or neck imaging

Include any lab results, records of previous weight loss attempts, and documentation of any related health conditions

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The terminology is marketing differentiation, not pharmacological distinction