source naturals acetyl l-carnitine L-Carnitine, Metabolic Energy*, 250mg L-Carnitine: Benefits, Side Effects, FAQ,

Instead, you may want to investigate an autoimmune diet, such as AutoImmune Paleo (AIP) or an autoimmune protocol diet to boost overall health with an autoimmune disease.[ref][ref] Essentially, the AIP diet removes many foods that are thought to either increase inflammation or cause some kind of immune system response

This is why many doctors now look at more sensitive tests

That matches the standard titration period before increasing to 5mg

Foster JD, Cervinski MA, Gorentla BK, Vaughan RA

A testimonial claiming 40 pounds lost in 8 weeks with 'just the shots' is either leaving out critical dietary changes or describing an unsustainable crash diet that will trigger rebound