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Prophylactic supplementation may be considered for select high-risk patients, particularly those with strict vegan diets, post-bariatric surgery, or on long-term metformin therapy

10.1007/s11657-021-00983-w Pubmed Abstract CrossRef Google Scholar View reference in article 7

This is a strong mid-ground option for users who want more than L-Carnitine alone but are not ready for a full high-stimulant fat burner
Furthermore, there was no difference in heart volumes
