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People taking anticoagulants such as warfarin should speak to their GP or anticoagulation service before using L-carnitine supplements, as case reports suggest a possible interaction that may affect INR levels

Carnitine deficiency has been widely reported in patients with epilepsy being treated with valproic acid and there have been reports that carbamazepine and phenobarbital may also deplete carnitine levels especially if used in combination with valproic acid

Alleviation of nerve problems Acetyl-L-carnitine has shown potential to reduce nerve damage (neuropathy) caused by chemotherapy in certain studies, possibly by protecting the nerve cells

Nordestgaard, B

1 2 "Office of Dietary Supplements - Carnitine"

We previously demonstrated that PFOS-induced ROS can result in the autophagy-associated apoptosis in RTCs, which can be suppressed by NAC (a ROS scavenger) through the suppression of PFOS-induced ERK1/2 phosphorylation