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L-carnitine deficiency is uncommon in the general population and typically occurs only in certain circumstances, such as genetic disorders of carnitine metabolism, severe kidney disease requiring dialysis, or strict vegan diets combined with certain medical conditions

A 2013 survey in Italy showed 34.85% were classified as overweight and 12.89% as obese, while in Germany the same year, 35.24% were overweight and 21.29% were obese

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Possible explanations may include incorrect reconstitution, dosing errors, inconsistent administration, unrealistic expectations, storage problems, lifestyle factors, or uncertainty about the products identity and concentration