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Oral supplements must pass through your digestive system where absorption is inconsistent especially in people over 50 or those with digestive issues

Research has suggested that low iron levels may be the underlying factor in decreased carnitine levels during pregnancy (as iron is a needed cofactor in the synthesis of carnitine in the body)

(2013) Diabetes | doi:10.2337/db12-0466 Servillo L, Giovane A, Cautela D, Castaldo D, Balestrieri ML.: Where does N()-trimethyllysine for the carnitine biosynthesis in mammals come from