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Additionally, carnitine supports heart health, boosts metabolism, and may aid in weight management by helping the body burn fat for energy during exercise instead of breaking down muscle

[8] Similarly, patients with gout or hyperuricemia should avoid high niacin intake, as niacin (even in nicotinamide form) can raise uric acid levels and potentially trigger gout flares

Mental problems such as memory loss or behavioral changes

If those values are borderline, further testing may be needed to assess methylmalonic acid (MMA) and homocysteine levels

Some users experience changes in bowel habits during the first week