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Acetyl L-Carnitine capsules are a convenient and easy source of carnitine

doi: 10.1128/AAC.01345-12 137 MichelsK

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You may experience minor bleeding, redness, swelling and blistering for several hours or days following treatment

In larger amounts, it impairs sexual function significantly, delays orgasm, causes erectile difficulties, and reduces genital sensitivity

I think it's important to connect with a medical professional, but that doesn't mean that all primary care doctors or doctors in general have expertise in treating obesity