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Office of Dietary Supplements Carnitine. NIH Office of Dietary Supplements, U.S

Any cloudiness, particles, or color change means it's degraded

But honestly, the short answer doesn't do justice to the science behind it or the potential consequences of getting it wrong

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The human trial results were mixed

It may also be used to treat other conditions, such as pernicious anemia, vitamin B12 malabsorption, and certain types of nerve pain