Blanco, L., Hermosilla, D., Blanco, A., Swinnen, N., Prieto, D
They reduce hunger
Responsible use is essential , which includes supervision by a knowledgeable practitioner
Medications such as valproic acid, cyclosporine, pivampicillin, and some anti-cancer drugs (e.g., etoposide, vinblastine) can also contribute to carnitine deficiency.[6] Valproic acid therapy may deplete carnitine stores by various mechanisms such as increased urinary excretion as valproylcarnitine, decreased renal tubular reabsorption, and decreased endogenous production
Threats of substitution 3.4.1.4
Start with lifestyle measures including gradually increasing dietary fibre to 2530 grams daily, drinking 1.52 litres of water, and engaging in regular physical activity