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Fecal metabolic transformation studies, and oral isotope tracer studies before versus after chronic l-carnitine supplementation, revealed that omnivores and vegans/vegetarians alike rapidly converted carnitine to BB, whereas the second gut microbial transformation, BBTMA, was diet inducible (l-carnitine, omnivorous)

The four-week intervals between dose increases give the body time to adapt

Use only after titrating through 0.25mg (4 weeks) and 0.50mg (minimum 4 weeks) doses