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These include the following: Bone maintenance

D-carnitine without bioactivities in people, however, has adverse biological effects via suppressing the carnitine acetyltransferase (23), with supplementation of D-carnitine inducing oxidative stress, liver inflammation, and apoptosis in animal studies (24), causing secondary carnitine deficiency, and therefore, almost no human studies of D-carnitine have been conducted (21)

Ngoei KRW, Langendorf CG, Ling NXY, Hoque A, Varghese S, Camerino MA, et al