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Common signs of an acetyl-L-carnitine allergy include: Skin reactions such as hives, rash, or itching Swelling of the face, lips, tongue, or throat Difficulty breathing or wheezing Nausea, vomiting, or abdominal pain Dizziness or lightheadedness Severe allergic reactions, known as anaphylaxis, require immediate medical attention

A 2018 review of 11 clinical trials with 251 well-trained athletes found that regular use of L-Carnitine (14 g per day for up to 6 months) improved energy expenditure and physical performance in some athletes

Furthermore, a diverse diet, and in particular, the number of different types of plant foods consumed, has been associated with greater microbial diversity (5, 53)