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doi: 10.1016/j.febslet.2004.07.024 150 YaoDBrownleeM

Some possible long-term risks may include: Reduced sensitivity to growth hormone over time Small changes in insulin or blood sugar levels Higher IGF-1 levels, which may affect cell growth These effects are uncommon but worth watching

Wilson AM

However, the previous studies could not avoid the confounding effects of the endogenous carnitine background when attempting to evaluate the effects of administering exogenous l- or d-carnitine