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[55] One 2009 study with 26 pregnant women found that those taking 500 mg of L-carnitine during pregnancy, starting at week 13 of gestation through birth, normalized their levels of carnitine

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It is possible that the amount of muscle damage and inflammation was so great during this study that administration of antioxidants had no possible benefit or as noted could possibly have had enhanced the response[27]

Effective management (slower dose escalation, dietary modifications like eating smaller meals and avoiding greasy foods, staying upright after eating) can make the difference between success and discontinuation