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Key points to consider when interpreting the evidence: Most studies are short-term , typically lasting fewer than 12 weeks, making it difficult to assess long-term efficacy or safety Results appear more pronounced in older adults or individuals with obesity, compared to younger, healthy populations L-carnitine alone, without dietary or lifestyle changes , is unlikely to produce clinically meaningful weight loss Neither NICE nor the NHS recommends L-carnitine supplementation as part of any weight management pathway

Kidney or liver disease As the kidneys and liver help create and use L-carnitine, disease in these organs or organ failure Doctors may recommend L-carnitine supplementation in these cases to support the function of the kidneys and liver and prevent deficiency

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