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Wei M, Wang L, Liu YS, et al

the remaining seven forms are uncharacterized in humans Bioavailability remains suboptimal, with oral administration largely ineffective due to enzymatic degradation

[8] L-carnitine has been reported to potentiate the anticoagulant effect of warfarin through unknown mechanisms, with case reports documenting supratherapeutic international normalized ratios after initiation of parenteral carnitine in malnourished adults