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Blood clots: It may promote the formation of blood clots , which are dangerous as they can block blood flow to vital organs such as the brain or heart
For a clinician-facing summary of timing and management considerations see this safety review
Patients on antidiabetic medications, including insulin, should also be cautious, as L-Carnitine may improve insulin sensitivity and glucose metabolism, potentially requiring adjustments in antidiabetic medication dosages
For instance, a 2017 review showed that taking L-carnitine for 3 days had no effect on markers of brain function including reaction time, vigilance, immediate memory, and delayed recall in young adults without cognitive impairment
