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L-Carnitine can be very important to those following a Keto diet as the higher fat intake requires more fatty acids to be shuttled into cells to be burned by the cells mitochondria, which means more Carnitine is used than normal by the body, depleting levels

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Sulfur burps typically improve substantially within 2 to 4 weeks at each dose level as your digestive system adapts

Additionally, it helps create a more balanced environment for neuronal activity by modulating inflammatory responses within the nervous system (1)

The major thyroid-related warning is much narrower: a personal or family history of medullary thyroid carcinoma or MEN2 is the issue of concern, not routine hypothyroidism