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Section Summary: L-carnitine is a conditionally essential amino acid derivative that supports cellular energy production, acts as an antioxidant, and is found in high concentrations in the male reproductive tract

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We limited the study cohort to patients with at least 1 year of follow-up before cohort entry (i.e

Check for HPLC confirmation of 99%+ purity, Mass Spectrometry to verify molecular weight, as well as sterility and endotoxin testing

Additionally, for an accurate diagnosis of BED, clinicians must rule out bulimia nervosa, ensuring patients do not regularly engage in inappropriate compensatory behaviors, such as self-induced vomiting and laxative or diuretic misuse, as seen in bulimia nervosa