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Could it be similar to creatine, where strength gains are not so spectacular in sedentary people, so L-carnitine would require an increase in fatty acid oxidation or impaired absorption

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Like in the average, if you get far enough for someone to analyze why you died, diabetes and hip fractures and things like that are hitting younger people

Common ingredients in these products (caffeine, synephrine, yohimbine) can increase heart rate and blood pressure