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Many individuals report that L-carnitine helps improve their energy levels by making fat metabolism more efficient

[1] [3] Secondary carnitine deficiencies may happen as the result of certain disorders, such as chronic kidney failure, or under conditions that reduce carnitine absorption or increase its excretion, such as the use of antibiotics, malnutrition, and poor absorption following digestion

Kidney function tests, such as serum creatinine and blood urea nitrogen (BUN), may be necessary, particularly in individuals with pre-existing kidney issues

Camacho C, Coulouris G, Avagyan V, Ma N, Papadopoulos J, Bealer K, Madden TL