if you have liver issues should you take l carnitine Acetyl-l-Carnitine in the Treatment of Peripheral Neuropathies: A Narrative Review | Pain and Therapy Frontiers | Role of Carnitine

GangaidzoITMoyoVMMvunduraEAggreyGMurphreeNLKhumaloHet al

(2020) 40(8):BSR20201807

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If that doesnt work, the compounds go into phase 2 where other molecules (such as cysteine, glutathione, or sulphur) are added to make the initial compound suitable for excretion