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Food Res

"A double-blind, randomized phase II study to evaluate the safety and efficacy of acetyl-L-carnitine in the prevention of sagopilone-induced peripheral neuropathy." Oncologist 18(11): 1190-1191

doi: 10.1196/annals.1320.016

Based on this current clinical evidence, long term usage of LC should be strict avoided and one must not exceed the daily allowance to avoid the short term side effects as well as the risk of long term complications due to prolonged elevated TMAO levels