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Most often, deficiency results from inadequate intake of glutathione and nutrients needed for glutathione production

Mitochondrial function and energy demand: When energy demand increases (such as during exercise or in a low-temperature environment), L-carnitine reduces reliance on glycolysis by enhancing the rate of fatty acid oxidation

Common side effects include: Nausea Vomiting Constipation Diarrhea Bloating Acid reflux Loss of appetite Less common but important risks include: Gallstones Pancreatitis (rare) Dehydration Temporary worsening of diabetic retinopathy in selected patients with rapid glucose improvement Your endocrinologist will monitor for these risks and adjust treatment if needed

In some embodiments, the otic pharmaceutical formulation comprises between about 80% to about 85% by weight of the triglycerides