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This dose failed to increase her breastmilk carnitine concentration, with a persistently low concentration of 3.4 mg/L (21 micromoles/L) before supplementation and after 18 days of supplementation.[1] The carnitine concentration was measured in the breastmilk of 27 normal mothers who were not taking carnitine as a supplement

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Conversely, if you are on multiple medications, changes in absorption could theoretically impact your risk of hypoglycemia (low blood sugar)