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Lanciotti M et al

Timing and combining with training and diet The reason carnitine shows the best effects with exercise is simple: the molecule is most useful when metabolic demand is high

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Other contributing factors include: Small intestinal bacterial overgrowth (SIBO) Gastrointestinal infections or parasites Certain medicines that slow digestion (e.g., opioids, anticholinergics, tricyclic antidepressants, GLP-1 receptor agonists) Food intolerances or malabsorption disorders Swallowing excess air (aerophagia) Consumption of carbonated beverages Understanding the underlying cause is essential for effective management

The objective of the present analysis was to extend the s.c./i.v